全球智库信息集成服务系统

Indiana, Iowa, and Michigan used section 1115 authority to implement beneficiary engagement programs as part of their Medicaid expansions, seeking to help Medicaid beneficiaries become more active participants in their health care. Indiana’s Healthy Indiana Plan (HIP) 2.0, Iowa’s Health and Wellness Plan (IHAWP), and Michigan’s Healthy Michigan Plan (HMP) each incentivize behaviors with rewards and penalties to encourage beneficiaries to engage in their health and health care, use regular preventive care, and/or make cost-conscious decisions when accessing care. This brief synthesizes findings from beneficiary survey data presented in interim demonstration evaluation reports to assess beneficiary understanding of each state’s incentive program.