Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors

Madhulika Vulimiri, William K. Bleser, Robert S. Saunders, Farrah Madanay, Connor Moseley, F. Hunter McGuire, Peter A. Ubel, Aaron McKethan, Mark McClellan, Charlene A. Wong

Research output: Contribution to journalArticle

Abstract

Medicaid programs are increasingly adopting incentive programs to improve health behaviors among beneficiaries. There is limited evidence on what incentives are being offered to Medicaid beneficiaries, how programs are engaging beneficiaries, and how programs are evaluated. In 2017-18 we synthesized available information on these programs and interviewed eighty policy stakeholders to identify the rationale behind key program design decisions and stakeholders’ recommendations for beneficiary engagement and program evaluation. Key underlying program rationales included improving the use of preventive services and promoting personal responsibility. Beneficiary engagement strategies emphasized meeting members where they are and offering prizes or services customized for certain groups. Stakeholders recommended collaborating with external evaluators to design and conduct robust evaluations of incentive programs. Finally, stakeholders recommended aligning beneficiary incentives with provider incentives and other payment reforms through the use of common meaningful measures to streamline program evaluation.

Original languageEnglish (US)
Pages (from-to)431-439
Number of pages9
JournalHealth Affairs
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2019

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Medicaid
Motivation
Program Evaluation
Health
Health Behavior

ASJC Scopus subject areas

  • Health Policy

Cite this

Vulimiri, M., Bleser, W. K., Saunders, R. S., Madanay, F., Moseley, C., McGuire, F. H., ... Wong, C. A. (2019). Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors. Health Affairs, 38(3), 431-439. https://doi.org/10.1377/hlthaff.2018.05427

Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors. / Vulimiri, Madhulika; Bleser, William K.; Saunders, Robert S.; Madanay, Farrah; Moseley, Connor; McGuire, F. Hunter; Ubel, Peter A.; McKethan, Aaron; McClellan, Mark; Wong, Charlene A.

In: Health Affairs, Vol. 38, No. 3, 01.03.2019, p. 431-439.

Research output: Contribution to journalArticle

Vulimiri, M, Bleser, WK, Saunders, RS, Madanay, F, Moseley, C, McGuire, FH, Ubel, PA, McKethan, A, McClellan, M & Wong, CA 2019, 'Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors', Health Affairs, vol. 38, no. 3, pp. 431-439. https://doi.org/10.1377/hlthaff.2018.05427
Vulimiri M, Bleser WK, Saunders RS, Madanay F, Moseley C, McGuire FH et al. Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors. Health Affairs. 2019 Mar 1;38(3):431-439. https://doi.org/10.1377/hlthaff.2018.05427
Vulimiri, Madhulika ; Bleser, William K. ; Saunders, Robert S. ; Madanay, Farrah ; Moseley, Connor ; McGuire, F. Hunter ; Ubel, Peter A. ; McKethan, Aaron ; McClellan, Mark ; Wong, Charlene A. / Engaging beneficiaries in medicaid programs that incentivize health- promoting behaviors. In: Health Affairs. 2019 ; Vol. 38, No. 3. pp. 431-439.
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