包括穷人:医疗补助扩张的财政影响
K E Thorpe1, J E Siegel, T Dailey
1Department of Health Policy and Management, School of Public Health, Harvard University, Boston, Mass. 02115.
JAMA
|February 17, 1989
概括
本研究分析了拟议的医疗补助改革的财政影响,包括为低收入人群扩大覆盖范围. 改革旨在提高资格和福利,估计的成本可能会被医疗保健节省所抵消.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健 金融 医疗保健 金融
背景情况:
- 美国人民的健康政策议程提出了全面的医疗补助改革.
- 目前的医疗补助计划有不同的资格标准,覆盖范围和提供者支付费率.
研究的目的:
- 估计拟议的医疗补助改革的财政影响.
- 分析扩大覆盖范围和改善福利的成本影响.
主要方法:
- 拟议的政策变化的财政影响分析.
- 估计与将医疗补助扩展到联邦贫困线以下的无保险非老年人相关的成本.
- 在医疗保健系统中建模潜在的成本补偿.
主要成果:
- 扩大医疗补助计划到联邦贫困线以下的所有未保险的非老年人,估计将花费大约90亿美元.
- 这些成本的很大一部分可以通过减少当前医疗保健支出来抵消.
- 改善国家福利计划和提供者支付费率可能会导致成本大幅增加.
结论:
- 医疗补助改革带来了重大的财政考虑.
- 财务影响取决于福利增强的范围和私人保险市场的反应.
- 仔细考虑改革细节对于管理成本和最大化收益至关重要.
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