Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa
Purpose: To describe the impact of disenrollment from Medicaid because of failure to pay premiums as part of Iowa's Medicaid program's personal responsibility component. Methods: We conducted a mixed method study consisting of in-depth interviews with disenrolled members in 2016 and 2017 (...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2019-12-01
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| Series: | Health Equity |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0093 |
| _version_ | 1797361330600017920 |
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| author | Natoshia M. Askelson Patrick Brady Brad Wright Suzanne Bentler Elizabeth T. Momany Peter Damiano |
| author_facet | Natoshia M. Askelson Patrick Brady Brad Wright Suzanne Bentler Elizabeth T. Momany Peter Damiano |
| author_sort | Natoshia M. Askelson |
| collection | DOAJ |
| description | Purpose: To describe the impact of disenrollment from Medicaid because of failure to pay premiums as part of Iowa's Medicaid program's personal responsibility component.
Methods: We conducted a mixed method study consisting of in-depth interviews with disenrolled members in 2016 and 2017 (n=72) and a survey of disenrolled members in 2017 (n=225).
Results: Many disenrollees did not know why they were disenrolled, were unaware of the personal responsibility component or premium requirement, and were confused by the disenrollment process. Disenrollment had negative effects including stress, financial burden, and engaging in behaviors such as skipping medication and postponing medical or dental care. Furthermore, disenrollees were often unable to enroll in health insurance, and for those who did, many reported it was a difficult process.
Conclusions: Disenrollment had numerous, negative impacts on members who failed to pay their premiums. There was confusion about program requirements, which might indicate challenges communicating about a complicated program. Policymakers need to consider how to design and implement personal responsibility programs to achieve their desired outcome and reduce confusion and negative consequences. |
| first_indexed | 2024-03-08T15:52:47Z |
| format | Article |
| id | doaj.art-7c6edce6257642adbeec83c66b7a75da |
| institution | Directory Open Access Journal |
| issn | 2473-1242 |
| language | English |
| last_indexed | 2024-03-08T15:52:47Z |
| publishDate | 2019-12-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Health Equity |
| spelling | doaj.art-7c6edce6257642adbeec83c66b7a75da2024-01-09T04:18:57ZengMary Ann LiebertHealth Equity2473-12422019-12-013163764310.1089/HEQ.2019.0093Purged from the Rolls: A Study of Medicaid Disenrollment in IowaNatoshia M. AskelsonPatrick BradyBrad WrightSuzanne BentlerElizabeth T. MomanyPeter DamianoPurpose: To describe the impact of disenrollment from Medicaid because of failure to pay premiums as part of Iowa's Medicaid program's personal responsibility component. Methods: We conducted a mixed method study consisting of in-depth interviews with disenrolled members in 2016 and 2017 (n=72) and a survey of disenrolled members in 2017 (n=225). Results: Many disenrollees did not know why they were disenrolled, were unaware of the personal responsibility component or premium requirement, and were confused by the disenrollment process. Disenrollment had negative effects including stress, financial burden, and engaging in behaviors such as skipping medication and postponing medical or dental care. Furthermore, disenrollees were often unable to enroll in health insurance, and for those who did, many reported it was a difficult process. Conclusions: Disenrollment had numerous, negative impacts on members who failed to pay their premiums. There was confusion about program requirements, which might indicate challenges communicating about a complicated program. Policymakers need to consider how to design and implement personal responsibility programs to achieve their desired outcome and reduce confusion and negative consequences.https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0093Medicaidevaluationhealth insurance disenrollment |
| spellingShingle | Natoshia M. Askelson Patrick Brady Brad Wright Suzanne Bentler Elizabeth T. Momany Peter Damiano Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa Health Equity Medicaid evaluation health insurance disenrollment |
| title | Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa |
| title_full | Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa |
| title_fullStr | Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa |
| title_full_unstemmed | Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa |
| title_short | Purged from the Rolls: A Study of Medicaid Disenrollment in Iowa |
| title_sort | purged from the rolls a study of medicaid disenrollment in iowa |
| topic | Medicaid evaluation health insurance disenrollment |
| url | https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0093 |
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