Evaluating the Implementation, Adoption and Outcomes of the Rhode Island HealthPact Plans & Global Waiver (2008)
Principal Investigator: Vincent Mor, PhD, Brown University
This study will evaluate the adoption, implementation, and outcomes of the HEALTHpact plan in Rhode Island, a small group plan with two levels of coverage based on several healthy living pledges. The study will use key informant interviews to identify a variety of different issues that have contributed to low enrollment in the program.
In addition, this study will evaluate the design and implementation of Rhode Island's Global Consumer Choice Compact Waiver, which is the first federal waiver to "block grant" Medicaid for a state. The research team will conduct in-depth interviews with key stakeholders, review pertinent documents, and observe relevant hearings and meetings in order to accomplish two goals: (1) Understand the circumstances that led to the Global Waiver proposal, its design, and its approval by the federal government; and (2) assess the very early implementation of the waiver itself, including an analysis of the spending cap and the risks the state assumed in agreeing to the cap in exchange for the waiver.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.