Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign

Inquiry, 48(1): 15-33

Posted: 8 Aug 2012

See all articles by Tami Gurley-Calvez

Tami Gurley-Calvez

University of Kansas Medical Center

Adam Pellillo

La Salle University

Paula Fitzgerald

West Virginia University - College of Business & Economics

Michael Walsh

West Virginia University - College of Business & Economics

Date Written: March 1, 2011

Abstract

This paper examines the factors that affect plan choice in a public health insurance program. West Virginia recently redesigned its state Medicaid program, offering members a choice between two plans — a basic plan and an enhanced plan. The latter plan includes more benefits, but requires additional agreements intended to lead patients to adopt healthier lifestyles. We use administrative claims records and survey data to examine plan choice. Our results yield convincing evidence that members with higher health care utilization patterns are more likely to enroll in the enhanced plan, but other factors such as education are also important.

Suggested Citation

Gurley-Calvez, Tami and Pellillo, Adam and Fitzgerald, Paula and Walsh, Michael, Choice in Public Health Insurance: Evidence from West Virginia Medicaid Redesign (March 1, 2011). Inquiry, 48(1): 15-33, Available at SSRN: https://ssrn.com/abstract=2125968

Tami Gurley-Calvez

University of Kansas Medical Center ( email )

1415
Jayhawk Blvd.
Lawrence, KS 66045
United States

Adam Pellillo (Contact Author)

La Salle University

United States

Paula Fitzgerald

West Virginia University - College of Business & Economics ( email )

P.O. Box 6025
Morgantown, WV 26506
United States

Michael Walsh

West Virginia University - College of Business & Economics ( email )

P.O. Box 6025
Morgantown, WV 26506
United States

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