在过渡期间的保险覆盖: 获得补充安全收入的儿童的Medicaid自动入学证明
Stephanie Rennane1, Danielle Sobol2, Bradley D Stein3
1RAND, Arlington, Virginia, USA.
Health services research
|November 20, 2023
概括
对于接受补充安全收入 (SSI) 的儿童,自动注册医疗补助显著提高了医疗保险的覆盖范围. 这种政策扩展对于降低无保险率和改善弱势儿童获得护理的机会至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 儿科健康 儿科健康
背景情况:
- 获得补充安全收入 (SSI) 的儿童在医疗保险覆盖中经常面临复杂的过渡.
- 覆盖范围的差距可能导致残疾儿童的医疗护理延迟或被忽视.
研究的目的:
- 检查儿童SSI受益人的自动医疗补助入学和他们的健康保险覆盖状态之间的关联.
- 评估医疗补助政策在关键过渡时期对保险连续性的影响.
主要方法:
- 利用医疗支出小组研究 (2000-2020年) 和特殊医疗保健需求儿童国家调查 (2001-2010年).
- 采用回归模型,利用SSI-Medicaid自动招生中的区域和时间差异.
- 使用新注册的SSI儿童子样本和NS-CSHCN数据集的验证结果.
主要成果:
- 自动注册医疗补助计划与获得SSI的儿童的医疗保险覆盖率在统计学上显著增加有关.
- 扩大自动入学率与所有SSI儿童中医疗补助入学率的3%上升以及新入学儿童的7%上升有关.
- 在降低无保险率方面也观察到类似的积极效应,这些发现在NS-CSHCN中得到重复.
结论:
- 医疗补助计划的自动入学政策显然改善了获得SSI的残疾儿童的医疗保险覆盖.
- 通过政策默认来简化招生流程,可以减少行政负担,并提高这些儿童的医疗保健机会.
- 这些发现支持扩大自动招生,以确保持续覆盖和更好的健康结果.
相关概念视频
Standards of Care I
697
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
697
Documentation in Long-Term and Home Healthcare Setting
895
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
895
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Nursing Clinical Information System
782
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
782
Specialized Care Centers and Settings-II
731
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
731
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K


