Skip to main content
main-content

02.12.2019 | Original Article | Ausgabe 2/2020

Journal of General Internal Medicine 2/2020

Engagement with Health Risk Assessments and Commitment to Healthy Behaviors in Michigan’s Medicaid Expansion Program

Zeitschrift:
Journal of General Internal Medicine > Ausgabe 2/2020
Autoren:
MD, MPH, MSc A. Taylor Kelley, MD, MHSA, MA Susan D. Goold, MD, MPP John Z. Ayanian, PhD, MPH Minal Patel, MD Eunice Zhang, MPH, MSW Erin Beathard, MD, MPH, MS Tammy Chang, PhD, MPH, MSW Erica Solway, MD, MSc Renuka Tipirneni
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s11606-019-05562-x) contains supplementary material, which is available to authorized users.

Prior Presentations

None

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

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 < 0.01). Among enrollees completing an HRA, nearly half said they did it because their PCP suggested it (45.9%, 95% CI 43.2–48.7%), and most reported it helped their PCP understand their health needs (89.7%). Awareness of financial incentives was limited (28.1%, 95% CI 26.3–30.0%), and very few reported it as the primary reason for HRA completion (2.5%, 95% CI 1.8–3.4%). Most committed to a healthy behavior (80.7%, 95% CI 78.5–82.8%), and common behaviors chosen were nutrition/diet (57.2%, 95% CI 54.2–60.2%) and exercise/activity (52.6%, 95% CI 49.5–55.7%).

Conclusions

In the Healthy Michigan Plan, PCPs appeared influential in enrollees’ completion of HRAs and healthy behavior engagement, while knowledge of financial incentives was limited. Additional study is needed to understand the relative importance of financial incentives and PCP engagement in impacting healthy behaviors in state Medicaid programs.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Zusatzmaterial
Nur für berechtigte Nutzer zugänglich
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 2/2020

Journal of General Internal Medicine 2/2020 Zur Ausgabe
  1. Sie können e.Med Innere Medizin 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

  2. Sie können e.Med Allgemeinmedizin 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet Innere Medizin

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Innere Medizin und bleiben Sie gut informiert – ganz bequem per eMail.

© Springer Medizin 

Bildnachweise