Abstract：
OBJECTIVE:To test the effectiveness of financial incentives for smoking cessation in the Medicaid population. DATA SOURCES:Secondary data from the Medicaid Incentives for Prevention of Chronic Disease (MIPCD) program and Medicaid claims/encounter data from 2010 to 2015 for five states. STUDY DESIGN:Beneficiaries were randomized into receipt or no receipt of financial incentives. We ran multivariate regression models testing the impact of financial incentives on the use of counseling services, smoking behavior, and Medicaid expenditures and utilization. DATA EXTRACTION:Participating states provided Medicaid eligibility, claims and encounters, program enrollment, and incentivized service use data. PRINCIPAL FINDINGS:Participants who received incentives were more likely to call the Quitline and complete counseling sessions. Incentive receipt was positively associated with self-reported quit attempts, self-reported quits, or passing cotinine tests of smoking cessation in most programs, although results were only statistically significant in a subset. There was no systematic evidence that incentives affected health care use or spending. CONCLUSIONS:Financial incentives are a promising policy lever to motivate behavioral change in the Medicaid population, but more evidence is needed regarding optimal incentive size, effectiveness of process-versus outcome-based incentives, targeting of incentives, and long-run cost-effectiveness.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Witman A,Acquah J,Alva M,Hoerger T,Romaire Mdoi
10.1111/1475-6773.12994subject
Has Abstractpub_date
2018-12-01 00:00:00pages
5016-5034issue
6eissn
0017-9124issn
1475-6773journal_volume
53pub_type
杂志文章abstract：:Thresholds for medical decision making are the probabilities of disease at which clinicians choose to initiate testing or therapy. A descriptive analysis of clinicians' decision making can derive their test and test-treatment thresholds and has the potential to explain variations in test utilization. A previously desc...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1986-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of a locally adapted evidence-based quality improvement (EBQI) approach to implementation of smoking cessation guidelines into routine practice. DATA SOURCES/STUDY SETTING:We used patient questionnaires, practice surveys, and administrative data in Veterans Health Administration (VA) p...
journal_title：Health services research
pub_type： 杂志文章,多中心研究,随机对照试验
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abstract：:The axioms of utility theory are restated in terms of health outcomes, and some additional assumptions, consistent with the assumptions implicit in health status index models, are adduced to develop a consistent theory of the utility of health states. On the basis of the axioms and specific assumptions, techniques for...
journal_title：Health services research
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2006.00606.x
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abstract：OBJECTIVES:The Patient Activation Measure (PAM) quantifies the extent to which people are informed about and involved in their health care. Objectives were to determine the psychometric properties of PAM among multimorbid older adults and evaluate a theoretical, four-stage model of patient activation. Methods. A cross-...
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01210.x
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journal_title：Health services research
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doi：10.1111/1475-6773.12215
更新日期：2015-04-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01466.x
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To quantify the impact of multiyear utilization of preventive dental services on downstream dental care utilization and expenditures for children. DATA SOURCES/STUDY SETTING:We followed 0.93 million Medicaid-enrolled children who were 3-6 years old in 2005 from 2005 to 2011. We used Medicaid claims data of A...
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pub_type： 杂志文章
doi：10.1111/1475-6773.12811
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
abstract：OBJECTIVE:To explore why and how health systems are engaging in care delivery redesign (CDR)-defined as the variety of tools and organizational change processes health systems use to pursue the Triple Aim. STUDY SETTING:A purposive sample of 24 health systems across 4 states as part of the Agency for Healthcare Resear...
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pub_type： 杂志文章
doi：10.1111/1475-6773.13585
更新日期：2020-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2004.00301.x
更新日期：2004-10-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/1475-6773.00166
更新日期：2003-08-01 00:00:00
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doi：
更新日期：1988-12-01 00:00:00
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更新日期：2017-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-04-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2012-04-01 00:00:00
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pub_type： 杂志文章
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更新日期：1993-02-01 00:00:00
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doi：10.1111/j.1475-6773.2008.00879.x
更新日期：2008-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVE/PURPOSE:To stimulate discussion within the research and policy community about the value of and issues surrounding different ways to describe access to care in a health system reconfigured by the growth of managed care, competition, and other marketplace changes. PRINCIPLE FINDINGS:The concept of access has ...
journal_title：Health services research
pub_type： 杂志文章,评审
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更新日期：1998-08-01 00:00:00
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doi：
更新日期：1996-02-01 00:00:00
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更新日期：2001-10-01 00:00:00
