UMMS Affiliation

Commonwealth Medicine, Center for Health Law and Economics

Publication Date

2018-01-26

Document Type

Blog Post

Disciplines

Health Economics | Health Law and Policy | Health Policy | Health Services Administration | Health Services Research

Abstract

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.

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.

Keywords

Kentucky, Medicaid waiver, emergency room

Rights and Permissions

© 2018 University of Massachusetts Medical School

Journal/Book/Conference Title

Commonwealth Medicine Blog

Comments

Blog post to Commonwealth Medicine's website - View blog post online

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