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July 2007
 Medicaid Efforts to Incentivize Healthy Behaviors
The first section of the paper reviews the three key elements of
incentive policies: which behaviors are rewarded, the amount of the
reward, and the nature of the reward. For each of these elements, a brief
synthesis of what is known from the public health literature is
presented. Then the implementation strategies used in the two states are
described, based upon interviews with Medicaid agency staff and a review
of program documentation. Lastly, Medicaid recipients attitudes toward
elements of the policy are presented. This is based upon analysis of data
gathered from four focus groups conducted in May of 2006 and a telephone
survey conducted in the fall of 2006 with 800 parents and guardians of
children with Medicaid.
The second section of the paper discusses lessons learned from the two
states. The lessons focus on the development stage and early
implementation, given the short time the programs were in operation at
the time this paper was researched and written.
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OPEN MINDS