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dc.contributor.authorLaes-Kushner, Rebecca
dc.date2022-08-11T08:08:07.000
dc.date.accessioned2022-08-23T15:42:49Z
dc.date.available2022-08-23T15:42:49Z
dc.date.issued2018-01-26
dc.date.submitted2018-02-02
dc.identifier.doi10.13028/4sjp-q013
dc.identifier.urihttp://hdl.handle.net/20.500.14038/26942
dc.description<p>Blog post to Commonwealth Medicine's website - <a href="https://commed.umassmed.edu/blog/2018/01/26/kentucky-medicaid-waiver-penalizes-enrollees-emergency-room-%E2%80%9Cmisuse%E2%80%9D" target="_blank">View blog post online</a></p>
dc.description.abstractKentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees. Enrollees in Kentucky’s Medicaid program, Kentucky HEALTH (Helping to Engage and Achieve Long Term Health), will receive virtual accounts, called a My Rewards Account, into which credits will be placed for their positive activities related to health (completing health risk assessment - $25) and careers (passing the GED - $50). The credits can be used to pay for certain services not covered by health plans, such as vision and dental services. However, members’ accounts will be deducted for undesirable behavior—currently defined as inappropriate use of the Emergency Room (ER). Members’ accounts can carry balances of up to negative $150 (-$150). Let’s look more closely at ER usage and penalties.
dc.language.isoen_US
dc.rights© 2018 University of Massachusetts Medical School
dc.subjectKentucky
dc.subjectMedicaid waiver
dc.subjectemergency room
dc.subjectEmergency Medicine
dc.subjectHealth Economics
dc.subjectHealth Law and Policy
dc.subjectHealth Policy
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectInsurance
dc.titleThe Kentucky Medicaid Waiver Penalizes Enrollees for Emergency Room “Misuse”
dc.typeBlog Post
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1144&amp;context=commed_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/commed_pubs/174
dc.identifier.contextkey11473666
refterms.dateFOA2022-08-23T15:42:49Z
html.description.abstract<p>Kentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees.</p> <p>Enrollees in Kentucky’s Medicaid program, Kentucky HEALTH (Helping to Engage and Achieve Long Term Health), will receive virtual accounts, called a My Rewards Account, into which credits will be placed for their positive activities related to health (completing health risk assessment - $25) and careers (passing the GED - $50). The credits can be used to pay for certain services not covered by health plans, such as vision and dental services.</p> <p>However, members’ accounts will be deducted for undesirable behavior—currently defined as inappropriate use of the Emergency Room (ER). Members’ accounts can carry balances of up to negative $150 (-$150).</p> <p>Let’s look more closely at ER usage and penalties.</p>
dc.identifier.submissionpathcommed_pubs/174
dc.contributor.departmentCommonwealth Medicine, Center for Health Law and Economics


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