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在COVID-19之前的晚产后保险损失:对医疗补助的影响
Erica Eliason1, Lindsay K Admon2, Maria W Steenland3
1Erica Eliason (erica_eliason@brown.edu), Brown University, Providence, Rhode Island.
Health affairs (Project Hope)
|July 5, 2023
概括
许多孕妇在分娩后失去医疗补助保险. 失去早期保险的三分之二的人在几个月内仍然没有保险,这凸显了需要产后医疗补助延期,以确保持续获得医疗保健.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 医疗补助计划是美国产前护理的重要支付者.
- 产后覆盖率的减少是持续获得孕产妇医疗保健的重要障碍.
- 疫情前的数据对于理解基线覆盖率趋势至关重要.
研究的目的:
- 在COVID-19大流行之前,评估产后Medicaid覆盖范围在产前登记者中的连续性.
- 量化产后期期间的保险损失和随后的无保险率.
- 评估州产后医疗补助延期的潜在影响.
主要方法:
- 使用了独特的怀孕风险评估监测系统 (PRAMS) 后续数据.
- 分析了COVID-19大流行之前从产前医疗补助计划入学者的数据.
- 在产后九到十个月内跟踪连续的医疗补助覆盖.
主要成果:
- 只有68%的产前医疗补助计划注册者在分娩后保持了连续的医疗保险.
- 三分之二的失去了早期产后保险的入学者在产后九到十个月仍然没有保险.
- 产后覆盖率差距的显著率存在于大流行前.
结论:
- 在分娩后,很大一部分人失去了医疗补助计划的覆盖范围,导致长期的无保险.
- 州产后医疗补助延期是防止覆盖范围丧失的关键政策干预.
- 解决产后覆盖率差距对于孕产妇健康和医疗保健准入至关重要.
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