Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.

To describe the landscape of Medicaid and the Children's Health Insurance Program beneficiary incentive programs for child health and garner key stakeholder insights on incentive program rationale, child and family engagement, and program evaluation. We identified beneficiary health incentive programs from 2005 to 2018 through a search of peer-reviewed and publicly available documents and through semistructured interviews with 80 key stakeholders (Medicaid and managed-care leadership, program evaluators, patient advocates, etc). This study highlights insights from 23 of these stakeholders with expertise on programs targeting child health (<18 years old) to understand program rationale, beneficiary engagement, and program evaluation. We identified 82 child health-targeted beneficiary incentive programs in Medicaid and the Children's Health Insurance Program. Programs most commonly incentivized well-child checks ( As the landscape of beneficiary incentive programs for child health evolves, policy makers have unique opportunities to leverage intergenerational and social approaches for family engagement and to more effectively increase and evaluate programs' impact.

Informations de copyright

Copyright © 2019 by the American Academy of Pediatrics.

Déclaration de conflit d'intérêts

POTENTIAL CONFLICT OF INTEREST: Ms Vulimiri is employed by the North Carolina Department of Health and Human Services. Dr Saunders receives funding from a grant from the Robert Wood Johnson Foundation, which has supported work on an issue brief about Medicaid incentives for health behaviors. Dr Ubel has consulted for Humana, Inc. Dr McClellan is an independent board member for Johnson and Johnson, Cigna, and Alignment Healthcare; cochairs the Accountable Care Learning Collaborative and the Guiding Committee for the Health Care Payment Learning and Action Network; and receives fees for serving as an advisor for Cota, the Mitre Corporation, and the National Institute for Health Care Management; the other authors have indicated they have no potential conflicts of interest to disclose.