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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Stress Prevention and Stress Management Techniques VI01:30

Stress Prevention and Stress Management Techniques VI

Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

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Implementation Matters: Lessons From Iowa Medicaid's Healthy Behaviors Program.

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Area of Science:

  • Public Health
  • Health Policy
  • Health Services Research

Background:

  • Iowa's Medicaid expansion features the Healthy Behaviors Program (HBP).
  • The HBP incentivizes enrollees to complete wellness exams and health risk assessments to waive monthly premiums.
  • Effective communication of program requirements is crucial for participation.

Purpose of the Study:

  • To examine awareness and understanding of the HBP among Iowa Medicaid enrollees.
  • To identify factors associated with HBP requirement completion.
  • To assess the effectiveness of program communication strategies.

Main Methods:

  • Telephone survey conducted with Iowa Medicaid enrollees.
  • Survey data merged with claims data for comprehensive analysis.
  • Analysis of awareness, understanding, and factors influencing program participation.

Main Results:

  • Low awareness of the HBP and its premium waiver requirements persists.
  • Approximately half of surveyed enrollees were unaware of the program or premium details.
  • Four years post-implementation, communication of HBP requirements remains ineffective.

Conclusions:

  • Limited program awareness significantly impacts participation in the HBP.
  • Policy makers must prioritize program structure and promotion for successful implementation.
  • Ineffective communication can lead to non-compliance, premium penalties, or disenrollment from Medicaid.