公众对肯塔基州医疗补助工作要求和强制性保费的看法
Kristen Underhill1,2,3, Elizabeth F Bair3,4, Erica L Dixon3,4
1Cornell Law School, Ithaca, New York.
JAMA health forum
|October 20, 2023
概括
大多数肯塔基州人普遍支持医疗补助工作要求,但反对终止福利或严格的小时配额. 对保险费和罚款的看法有限,Medicaid注册者对这些政策的支持较少.
科学领域:
- 卫生政策 卫生政策
- 公众论研究 公众论研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 联邦和州政府正在越来越多地实施医疗补助资格的工作要求和溢价.
- 了解公众对这些政策的具体设计要素的看法对于有效实施至关重要.
研究的目的:
- 评估肯塔基州成年人对医疗补助工作要求和保险费的设计的看法.
- 为了确定医疗补助注册者和非注册者之间可能存在的意见差异.
主要方法:
- 2019年6月至7月,通过电话和互联网对肯塔基州1203名居民进行了横截面调查.
- 数据被加权以反映州人口统计,统计分析从2019年10月到2023年8月进行.
主要成果:
- 虽然69%的人普遍支持工作要求,但只有43%的人支持因不遵守规定而终止福利,34%的人支持每周20小时以上的配额.
- 对每月保险费 (34%) 和未支付罚款 (22%) 的支持是有限的.
- 医疗补助计划注册者对这些政策的支持程度低于非注册者.
结论:
- 对医疗补助工作要求和保费的公共支持可能不扩展到特定的惩罚性设计特征.
- 医疗补助计划注册者和非注册者之间存在显著的意见差异,在政策变化之前需要仔细考虑.
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