The article Iowa’s Medicaid Expansion Promoted Healthy Behaviors But Was Challenging To Implement And Attracted Few Participants from University of Iowa researchers was selected by the editor of Health Affairs as one of the top ten articles for 2017.
States adopting Medicaid expansions in more conservative political environments are including features designed to promote healthy behaviors among enrollees. The research team evaluated the approach taken in Iowa. They found low compliance with program requirements and significant gaps in knowledge among enrollees and providers. Their results raise questions about the viability of efforts to reform Medicaid by shifting responsibility for healthy behaviors onto enrollees.