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Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.

Publication ,  Journal Article
Moseley, CA; Vulimiri, M; Saunders, RS; Bleser, WK; Perrin, EM; Armstrong, SC; Wang, GX; Ubel, PA; McClellan, M; Wong, CA
Published in: Pediatrics
August 2019

OBJECTIVES: To describe the landscape of Medicaid and the Children's Health Insurance Program beneficiary incentive programs for child health and garner key stakeholder insights on incentive program rationale, child and family engagement, and program evaluation. METHODS: We identified beneficiary health incentive programs from 2005 to 2018 through a search of peer-reviewed and publicly available documents and through semistructured interviews with 80 key stakeholders (Medicaid and managed-care leadership, program evaluators, patient advocates, etc). This study highlights insights from 23 of these stakeholders with expertise on programs targeting child health (<18 years old) to understand program rationale, beneficiary engagement, and program evaluation. RESULTS: We identified 82 child health-targeted beneficiary incentive programs in Medicaid and the Children's Health Insurance Program. Programs most commonly incentivized well-child checks (n = 77), preventive screenings (n = 30), and chronic disease management (n = 30). All programs included financial incentives (eg, gift cards, premium incentives); some also offered incentive material prizes (n = 12; eg, car seats). Loss-framed incentives were uncommon (n = 1; eg, lost benefits) and strongly discouraged by stakeholders. Stakeholders suggested family engagement strategies including multigenerational incentives or incentives addressing social determinants of health. Regarding evaluation, stakeholders suggested incentivizing evidence-based preventive services (eg, vaccinations) rather than well-child check attendance, and considering proximal measures of child well-being (eg, school functioning). CONCLUSIONS: As the landscape of beneficiary incentive programs for child health evolves, policy makers have unique opportunities to leverage intergenerational and social approaches for family engagement and to more effectively increase and evaluate programs' impact.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

August 2019

Volume

144

Issue

2

Location

United States

Related Subject Headings

  • United States
  • Stakeholder Participation
  • Program Evaluation
  • Peer Review
  • Pediatrics
  • Medicaid
  • Humans
  • Children's Health Insurance Program
  • Child
  • 52 Psychology
 

Citation

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Chicago
ICMJE
MLA
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Moseley, C. A., Vulimiri, M., Saunders, R. S., Bleser, W. K., Perrin, E. M., Armstrong, S. C., … Wong, C. A. (2019). Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights. Pediatrics, 144(2). https://doi.org/10.1542/peds.2018-3161
Moseley, Connor A., Madhulika Vulimiri, Robert S. Saunders, William K. Bleser, Eliana M. Perrin, Sarah C. Armstrong, Gary X. Wang, Peter A. Ubel, Mark McClellan, and Charlene A. Wong. “Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.Pediatrics 144, no. 2 (August 2019). https://doi.org/10.1542/peds.2018-3161.
Moseley CA, Vulimiri M, Saunders RS, Bleser WK, Perrin EM, Armstrong SC, et al. Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights. Pediatrics. 2019 Aug;144(2).
Moseley, Connor A., et al. “Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.Pediatrics, vol. 144, no. 2, Aug. 2019. Pubmed, doi:10.1542/peds.2018-3161.
Moseley CA, Vulimiri M, Saunders RS, Bleser WK, Perrin EM, Armstrong SC, Wang GX, Ubel PA, McClellan M, Wong CA. Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights. Pediatrics. 2019 Aug;144(2).

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

August 2019

Volume

144

Issue

2

Location

United States

Related Subject Headings

  • United States
  • Stakeholder Participation
  • Program Evaluation
  • Peer Review
  • Pediatrics
  • Medicaid
  • Humans
  • Children's Health Insurance Program
  • Child
  • 52 Psychology