TY - JOUR
T1 - Choice in public health insurance
T2 - Evidence from West Virginia Medicaid redesign
AU - Gurley-Calvez, Tami
AU - Pellillo, Adam
AU - Fitzgerald, M. Paula
AU - Walsh, Michael F.
PY - 2011
Y1 - 2011
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=79959782868&partnerID=8YFLogxK
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U2 - 10.5034/inquiryjrnl_48.01.06
DO - 10.5034/inquiryjrnl_48.01.06
M3 - Article
C2 - 21634260
AN - SCOPUS:79959782868
SN - 0046-9580
VL - 48
SP - 15
EP - 33
JO - Inquiry
JF - Inquiry
IS - 1
ER -