Grant: #73052

Grantee Institution: The Regents of the University of California, Los Angeles

Principal Investigator: Kathryn Kietzman, Ph.D.

Grant Period: October 1, 2015 – September 30, 2017

Budget: $399,130

More than nine million health care consumers are dually eligible for Medicare and Medicaid, including both seniors with multiple chronic conditions and young people with significant disabilities.  Dual eligibles are among the poorest and sickest of consumers and account for a disproportionate share of utilization and spending in both Medicare and Medicaid.  The researchers will conduct a series of one-on-one interviews and focus group discussions with dual eligibles in California, a state that began enrolling duals in a new managed care program in 2014.  In this context, the researchers will examine how dual eligibles 1) make decisions about health care coverage; 2) access and incorporate different information sources into their decision-making; and 3) perceive the value of receiving health care through fee-for-service or managed care.  The goal of this project is to help inform strategies for effectively communicating with and responding to the preferences of dual eligible health care consumers, while also identifying practices that, in general, better support health-related consumer decision-making.

This project is funded as part of the Robert Wood Johnson Foundation’s solicitation “Optimizing Value in Health Care: Consumer-focused Trends from the Field,” which supports studies that address consumer perceptions of value in the new and emerging health care landscape.