title: Medicaid incentive programs to encourage healthy behavior show mixed results to date and should be studied and improved.
abstract: In September 2011 the Centers for Medicare and Medicaid Services awarded $85 million in grants to ten states to test financial incentive programs to encourage healthy behavior among Medicaid enrollees with chronic diseases. There is little published evidence about the effectiveness of such incentives within the Medicaid program. We evaluated the available research from three earlier Medicaid incentive programs and found mixed results. On the one hand, in Florida only about half of the $41.3 million in available credits was "claimed" by enrollees between 2006 and 2011. On the other, Idaho's incentive program was credited with improving the proportion of children who were up-to-date on well-child visits. Our findings suggest that Medicaid incentive programs should be designed so that enrollees can understand them and so that the incentives are attractive enough to motivate participation. Medicaid incentive programs also should be subject to rigorous evaluation to more clearly establish their effectiveness.
authors: Internal Medicine–Primary Care Program, Massachusetts General Hospital, Boston, USA. kjblumenthal@gmail.com
authors: Karen J
authors: KJ
authors: Blumenthal
authors: Kathryn A
authors: KA
authors: Saulsgiver
authors: Laurie
authors: L
authors: Norton
authors: Andrea B
authors: AB
authors: Troxel
authors: Joseph P
authors: JP
authors: Anarella
authors: Foster C
authors: FC
authors: Gesten
authors: Michael E
authors: ME
authors: Chernew
authors: Kevin G
authors: KG
authors: Volpp
mesh_terms: D002648:Child; D002662:Child Health Services / Q000191:economics / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000453:epidemiology* / Q000534:rehabilitation*; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005380:Financing, Government; D015438:Health Behavior; D006266:Health Education; D057220:Health Literacy; D006801:Humans; D008484:Medicaid; D009042:Motivation; D015397:Program Evaluation; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data