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Engaging Michigan communities in deliberations about Medicaid priorities
Investigator (PI): Goold, Susan Dorr
Performing Organization (PO): (Current): University of Michigan, Michigan Medicine, Department of Internal Medicine, Division of General Medicine / (734) 936-5216
Supporting Agency (SA): Agency for Healthcare Research and Quality (AHRQ)
Initial Year: 2014
Final Year: 2016
Record Source/Award ID: RePorter/R21HS023566
Funding: 2014 Award Amount: $193,896
Award Type: Grant
Abstract: We will 1. engage communities, particularly underserved communities, in informed deliberations about current and potential changes to Medicaid eligibility, coverage, and cost-sharing. Building on community-based research partnerships state-wide, we will convene a steering committee, including community leaders, researchers, decision makers in private health plans and the Michigan Department of Community Health (MDCH) and other stakeholders. We will adapt an innovative, award-winning web-based simulation exercise, CHAT (CHoosing All Together, usechat.org) in which individuals and groups make tradeoffs between competing needs for limited resources. Options in Medicaid-CHAT may include variations in covered benefits; out-of-pocket spending; population health and public health programs; rewards for healthy behaviors; and quality improvement activities. We will facilitate deliberations throughout the state, disproportionately sampling medically underserved communities and balancing locale (urban, suburban, rural, and remote rural) and sociodemographic characteristics, ensuring inclusion of particular perspectives, e.g., those with chronic illness and those who are or will soon be eligible for Medicaid coverage or dually eligible; 2. prepare policy briefs describing the views of Michigan citizens about Medicaid eligibility, coverage, and cost-sharing and implications for policy; and communicate Medicaid priorities of communities and the policy implications to state leaders, community leaders, insurers, and other stakeholders; 3. examine the impact of public engagement on participants' knowledge, attitudes, and priorities, and explore the impact on policy decisions; and 4. evaluate the effect of deliberations including a key element of deliberative procedures--representation.
MeSH Terms:
  • Community Health Services /*economics
  • /*organization & administration
  • Computer Simulation
  • Cost Sharing
  • Health Policy
  • Humans
  • Insurance, Health
  • Internet
  • Medicaid
  • Medically Underserved Area
  • Michigan
  • Patient Participation /*methods
  • Private Sector
  • Quality Improvement
  • Rural Population
  • Social Class
  • Suburban Population
  • Urban Population
Country: United States
State: Michigan
Zip Code: 48109
UI: 20153508
Project Status: Completed