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...

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Bibliographic Details
Main Authors: Tami Gurley-Calvez, Adam Pellillo, M. Paula Fitzgerald, Michael F. Walsh
Format: Article
Language:English
Published: SAGE Publishing 2011-02-01
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.
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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
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AT adampellillo choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign
AT mpaulafitzgerald choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign
AT michaelfwalsh choiceinpublichealthinsuranceevidencefromwestvirginiamedicaidredesign