针对COVID-19的医疗保险变化:对患有精神疾病或物质使用障碍的受益人的意外影响
Alexander D McCourt1, Sarah A White1, Victoria R Green1
1Departments of Health Policy and Management (McCourt, White) and Mental Health (Green), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Division of Health Policy and Economics, Weill Cornell Medicine, New York City (McGinty).
在COVID-19期间的医疗保险政策变化对行为健康保健产生了意想不到的后果. 排放计划豁免风险降低了访问和质量,而HIPAA执法自由裁量权改善了精神疾病或物质使用障碍的人的访问.
科学领域:
- 卫生政策研究 卫生政策研究
- 行为健康服务 行为健康服务
- 医疗保健经济学 医疗保健经济学
背景情况:
- 由于COVID-19的流行,需要迅速调整医疗保险政策.
- 有行为健康需求的受益人可能会面临政策转变带来的独特挑战.
- 了解意外后果对于公平获得医疗保健至关重要.
研究的目的:
- 在COVID-19大流行期间探索医疗保险政策变化的潜在意外后果.
- 评估这些变化对有行为健康护理需求的受益人的影响.
- 确定对心理健康和物质使用护理有风险或益处的具体政策.
主要方法:
- 政策收集和文献综述 (2022年春季).
- 修改的Delphi小组与13名专家 (2022年6月).
- 通过分组前后调查进行专家共识评估.
主要成果:
- 确定了两项可能带来意想不到后果的政策.
- 排放计划豁免:降低访问,质量和结果的风险.
- HIPAA执法自由裁量权:对于那些患有精神疾病或物质使用障碍的人来说,增加访问和结果的潜力.
结论:
- 迅速实施的流行病政策可能无法充分考虑行为健康需求.
- 政策豁免和执法自由裁量权可以显著影响护理的获取和质量.
- 需要进行持续的评估,以减轻负面影响,并优化对弱势群体的护理.
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