How Are ‘Healthy Behavior’ Requirements Working for Iowa Medicaid?

Iowa’s low participation rate should come as no surprise. It fits with a growing body of evidence that efforts like this one—whether implemented in state Medicaid programs or in private workplace initiatives—are largely ineffective, showing at best evidence of limited, short-term compliance, but little of long-term health improvements. Instead of expanding complicated programs that add red tape and administrative burden, the state should focus on reducing the barriers that make it difficult for Iowans to access care and be healthy in the first place.

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