Medicine and Health Sciences Commons^™

Medicaid Work Requirements: State-Based Innovation Or Punitive Policymaking?, Diane Sherwin

Honors Theses

In March 2017, officials appointed to the Center for Medicare and Medicaid Services by President Donald Trump signaled to state governments their intent to support states who would choose to utilize Medicaid’s Section 1115 waiver provision to alter their state’s Medicaid program by introducing a work requirement. As of October 1, 2018, 13 states have heeded this signal and proposed a work requirement component for their Medicaid programs. The purpose of this paper is to determine if Medicaid work requirements are an innovative policy approach to improve independence among Medicaid enrollees, or if these requirements are a punitive, partisan approach …

Disparities In Access To Preventive Health Care Services Among Insured Children In A Cross Sectional Study, Christian King

Department of Nutrition and Health Sciences: Faculty Publications

Children with insurance have better access to care and health outcomes if their parents also have insurance. However, little is known about whether the type of parental insurance matters. This study attempts to determine whether the type of parental insurance affects the access to health care services of children. I used data from the 2009–2013 Medical Expenditure Panel Survey and estimated multivariate logistic regressions (N=26,152). I estimated how family insurance coverage affects the probability that children have a usual source of care, well-child visits in the past year, unmet medical and prescription needs, less than 1 dental visit per year, …

Comprehension Of Health Plan Language For Denial Of Benefit Claims, E. Kiernan Mcgorty

Department of Psychology: Dissertations, Theses, and Student Research

ERISA requires that plan administrators provide consumers with understandable health plan documents. The present study assessed the readability and comprehensibility of medical necessity and claims procedure clauses. For Study 1, I collected 40 summary plan descriptions from a diverse sample of employers and ran readability tests on the medical necessity and claims procedure clauses. Scores on the Flesch Reading Ease, Flesch Grade Level, and Fog Index indicated that the clauses were, in violation of ERISA’s disclosure requirement, written at reading levels beyond those one might expect the average plan participant to possess.

In Studies 2 and 3, employees read either …