Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign
This paper examines the factors that affect plan choice in a public health insurance program. West Virginia recently redesigned its state Medicaid program, offering members a choice between two plans—a basic plan and an enhanced plan. The latter plan includes more benefits, but requires additional a...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2011-02-01
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Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
Online Access: | https://doi.org/10.5034/inquiryjrnl_48.01.06 |
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author | Tami Gurley-Calvez Adam Pellillo M. Paula Fitzgerald Michael F. Walsh |
author_facet | Tami Gurley-Calvez Adam Pellillo M. Paula Fitzgerald Michael F. Walsh |
author_sort | Tami Gurley-Calvez |
collection | DOAJ |
description | This paper examines the factors that affect plan choice in a public health insurance program. West Virginia recently redesigned its state Medicaid program, offering members a choice between two plans—a basic plan and an enhanced plan. The latter plan includes more benefits, but requires additional agreements intended to lead patients to adopt healthier lifestyles. We use administrative claims records and survey data to examine plan choice. Our results yield convincing evidence that members with higher health care utilization patterns are more likely to enroll in the enhanced plan, but other factors such as education are also important. |
first_indexed | 2024-12-21T13:35:10Z |
format | Article |
id | doaj.art-5181b4f6981245b3a9c3563937791215 |
institution | Directory Open Access Journal |
issn | 0046-9580 |
language | English |
last_indexed | 2024-12-21T13:35:10Z |
publishDate | 2011-02-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
spelling | doaj.art-5181b4f6981245b3a9c35639377912152022-12-21T19:02:11ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95802011-02-014810.5034/inquiryjrnl_48.01.06Choice in Public Health Insurance: Evidence from West Virginia Medicaid RedesignTami Gurley-CalvezAdam PellilloM. Paula FitzgeraldMichael F. WalshThis paper examines the factors that affect plan choice in a public health insurance program. West Virginia recently redesigned its state Medicaid program, offering members a choice between two plans—a basic plan and an enhanced plan. The latter plan includes more benefits, but requires additional agreements intended to lead patients to adopt healthier lifestyles. We use administrative claims records and survey data to examine plan choice. Our results yield convincing evidence that members with higher health care utilization patterns are more likely to enroll in the enhanced plan, but other factors such as education are also important.https://doi.org/10.5034/inquiryjrnl_48.01.06 |
spellingShingle | Tami Gurley-Calvez Adam Pellillo M. Paula Fitzgerald Michael F. Walsh Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign Inquiry: The Journal of Health Care Organization, Provision, and Financing |
title | Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign |
title_full | Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign |
title_fullStr | Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign |
title_full_unstemmed | Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign |
title_short | Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign |
title_sort | choice in public health insurance evidence from west virginia medicaid redesign |
url | https://doi.org/10.5034/inquiryjrnl_48.01.06 |
work_keys_str_mv | AT tamigurleycalvez choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign AT adampellillo choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign AT mpaulafitzgerald choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign AT michaelfwalsh choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign |