Engagement with Health Risk Assessments and Commitment to Healthy Behaviors in Michigan's Medicaid Expansion Program
| Autor: | Erin Beathard, A. Taylor Kelley, Tammy Chang, John Z. Ayanian, Minal R. Patel, Susan Dorr Goold, Erica Solway, Eunice Zhang, Renuka Tipirneni |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Healthy behavior
Adult Michigan Health Behavior Primary care 01 natural sciences Risk Assessment Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Financial incentives Internal Medicine Medicine Humans 030212 general & internal medicine 0101 mathematics Health risk Health needs business.industry Medicaid 010102 general mathematics Middle Aged United States Telephone survey Geographic regions Original Article business Demography |
| Zdroj: | J Gen Intern Med |
| ISSN: | 1525-1497 |
| Popis: | BACKGROUND: Health risk assessments (HRAs) and healthy behavior incentives are increasingly used by state Medicaid programs to promote enrollees’ health. OBJECTIVE: To evaluate enrollee experiences with HRAs and healthy behavior engagement in the Healthy Michigan Plan (HMP), a state Medicaid expansion program. DESIGN: Telephone survey conducted in Michigan January–October 2016. PARTICIPANTS: A random sample of HMP enrollees aged 19–64 with ≥ 12 months of enrollment, stratified by income and geographic region. MAIN MEASURES: Self-reported completion of an HRA, reasons for completing an HRA, commitment to a healthy behavior, and choice of healthy behavior. KEY RESULTS: Among respondents (N = 4090), 49.3% (95% CI 47.3–51.2%) reported completing an HRA; among those with a primary care provider (PCP) (n = 3851), 85.2% (95% CI 83.5–86.7%) reported visiting their PCP during the last 12 months. Most enrollees having a recent PCP visit reported discussing healthy behaviors with them (91.1%, 95% CI 89.6–92.3%) and were more likely to have completed an HRA than enrollees without a recent PCP visit (52.7%, 95% CI 50.5–52.8% vs. 36.2%, 95% CI 31.7–41.1%; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink