Health promotion interventions for low-income Californians through Medi-Cal Managed Care Plans, 2012

Desiree R. Backman, Neal D. Kohatsu, Brian M. Paciotti, Jennifer V. Byrne, Kenneth W Kizer

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Prevention is the most cost-effective approach to promote population health, yet little is known about the delivery of health promotion interventions in the nation's largest Medicaid program, Medi- Cal. The purpose of this study was to inventory health promotion interventions delivered through Medi-Cal Managed Care Plans; identify attributes of the interventions that plans judged to have the greatest impact on their members; and determine the extent to which the plans refer members to community assistance programs and sponsor health-promoting community activities. Methods: The lead health educator from each managed care plan was asked to complete a 190-item online survey in January 2013; 20 of 21 managed care plans responded. Survey data on the health promotion interventions with the greatest impact were grouped according to intervention attributes and measures of effectiveness; quantitative data were analyzed using descriptive statistics. Results: Health promotion interventions judged to have the greatest impact on Medi-Cal members were delivered in various ways; educational materials, one-on-one education, and group classes were delivered most frequently. Behavior change, knowledge gain, and improved disease management were cited most often as measures of effectiveness. Across all interventions, median educational hours were limited (2.4 h), and median Medi-Cal member participation was low (265 members per intervention). Most interventions with greatest impact (120 of 137 [88%]) focused on tertiary prevention. There were mixed results in referring members to community assistance programs and investing in community activities. Conclusion: Managed care plans have many opportunities to more effectively deliver health promotion interventions. Establishing measurable, evidence-based, consensus standards for such programs could facilitate improved delivery of these services.

Original languageEnglish (US)
Article number150269
JournalPreventing chronic disease
Volume12
Issue number11
DOIs
StatePublished - 2015

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Managed Care Programs
Health Promotion
Tertiary Prevention
Health Educators
Medicaid
Health
Disease Management
Education
Costs and Cost Analysis
Equipment and Supplies
Population
Surveys and Questionnaires

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

Health promotion interventions for low-income Californians through Medi-Cal Managed Care Plans, 2012. / Backman, Desiree R.; Kohatsu, Neal D.; Paciotti, Brian M.; Byrne, Jennifer V.; Kizer, Kenneth W.

In: Preventing chronic disease, Vol. 12, No. 11, 150269, 2015.

Research output: Contribution to journalArticle

Backman, Desiree R. ; Kohatsu, Neal D. ; Paciotti, Brian M. ; Byrne, Jennifer V. ; Kizer, Kenneth W. / Health promotion interventions for low-income Californians through Medi-Cal Managed Care Plans, 2012. In: Preventing chronic disease. 2015 ; Vol. 12, No. 11.
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abstract = "Introduction: Prevention is the most cost-effective approach to promote population health, yet little is known about the delivery of health promotion interventions in the nation's largest Medicaid program, Medi- Cal. The purpose of this study was to inventory health promotion interventions delivered through Medi-Cal Managed Care Plans; identify attributes of the interventions that plans judged to have the greatest impact on their members; and determine the extent to which the plans refer members to community assistance programs and sponsor health-promoting community activities. Methods: The lead health educator from each managed care plan was asked to complete a 190-item online survey in January 2013; 20 of 21 managed care plans responded. Survey data on the health promotion interventions with the greatest impact were grouped according to intervention attributes and measures of effectiveness; quantitative data were analyzed using descriptive statistics. Results: Health promotion interventions judged to have the greatest impact on Medi-Cal members were delivered in various ways; educational materials, one-on-one education, and group classes were delivered most frequently. Behavior change, knowledge gain, and improved disease management were cited most often as measures of effectiveness. Across all interventions, median educational hours were limited (2.4 h), and median Medi-Cal member participation was low (265 members per intervention). Most interventions with greatest impact (120 of 137 [88{\%}]) focused on tertiary prevention. There were mixed results in referring members to community assistance programs and investing in community activities. Conclusion: Managed care plans have many opportunities to more effectively deliver health promotion interventions. Establishing measurable, evidence-based, consensus standards for such programs could facilitate improved delivery of these services.",
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