Kosali Simon, Ph.D.
Dr. Kosali Simon is a Herman B Wells Endowed Professor at the Indiana University School of Public and Environm... Read Bio
As part of the Agency for Healthcare Research and Quality-funded project Research Insights, managed by AcademyHealth, this webinar highlighted insights from specific states’ experiences with personal responsibility provisions in Medicaid and the national implications of these experiences.
Several states are utilizing Section 1115 Medicaid waivers to implement policies to foster personal responsibility in the form of increased beneficiary payments (both premiums and point-of-service cost sharing), work incentives and nudges towards healthy behaviors. These policies are rooted in the idea that beneficiary engagement will lead to more prudent use of health services and lifestyle choices resulting in better health outcomes.
This webinar featured two Medicaid waiver evaluators, Atheendar Venkataramani, University of Pennsylvania Perelman School of Medicine, and Richard Hirth, University of Michigan School of Public Health, on the personal responsibility experiences in Kentucky and Michigan respectively. They shared insights around what the existing health services research base and these states’ recent experiences can tell us about the impact of personal responsibility provisions in Medicaid, including things such as increased cost-sharing, work requirements, and incentives for healthy behavior. Moderated by Kosali Simon of Indiana University, the webinar also included reactions from Anne Schwartz, executive director of the Medicaid and CHIP Payment and Access Commission (MACPAC).
Funding for this webinar was made possible by Grant No. 2R13HS018888-07from the U.S. Agency for Healthcare Research and Quality (AHRQ). The views expressed in by speakers and moderators do not necessarily reflect the official policies of the U.S. Department of Health and Human Services. Managed by AcademyHealth, the Research Insights Project convenes invitational meetings, holds webinars, and produces reports and issue briefs to foster discussion of existing, relevant research evidence among policy audiences that need to implement health reform and develop new policy.