Beneficiary Understanding of Incentives: Evidence from Interim Demonstration Evaluation Reports in Indiana, Iowa, and Michigan
Medicaid 1115 Demonstrations Brief
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Associated Project
New Approaches for Medicaid: The 1115 Demonstration Evaluation
Prepared for:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services
Indiana, Iowa, and Michigan used section 1115 authority to implement beneficiary engagement programs as part of their Medicaid expansions, seeking to help Medicaid beneficiaries become more active participants in their health care. Indiana’s Healthy Indiana Plan (HIP) 2.0, Iowa’s Health and Wellness Plan (IHAWP), and Michigan’s Healthy Michigan Plan (HMP) each incentivize behaviors with rewards and penalties to encourage beneficiaries to engage in their health and health care, use regular preventive care, and/or make cost-conscious decisions when accessing care. This brief synthesizes findings from beneficiary survey data presented in interim demonstration evaluation reports to assess beneficiary understanding of each state’s incentive program.
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