在COVID-19公共卫生紧急情况期间,持续的医疗补助覆盖减少了,但并没有消除它
Daniel B Nelson1, Anna L Goldman2, Fang Zhang1
1Department of Population Medicine, Harvard Medical School, Boston, MA 02215, United States.
Health affairs scholar
|January 15, 2024
概括
家庭的首次冠状病毒应对法案
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
- 卫生经济学 卫生经济学
背景情况:
- 2020年初,与大流行有关的失业威胁到医疗保险的获得.
- 在大流行之前,医疗补助计划的入学者经常经历覆盖范围的中断 ("冲动").
- "家庭首先应对冠状病毒法案"在COVID-19公共卫生紧急情况 (PHE) 中引入了连续的医疗补助覆盖.
研究的目的:
- 评估持续覆盖政策在COVID-19 PHE期间对医疗补助""的影响.
- 评估"家庭第一冠状病毒应对法案"在维持医疗保险覆盖的有效性.
- 量化非老年医疗补助注册人中转向无保险的减少.
主要方法:
- 使用纵向国家调查数据进行差异差异分析.
- 对2019-2020年接触政策的队列与2018-2019年控制队列的比较.
- 专注于在医疗补助计划中注册的非老年人.
主要成果:
- 持续保险政策显著减少了非老年成人医疗补助计划注册人中转向无保险的情况.
- 据估计,每月有30万个以上的无保险转换被该保险所阻止.
- 这项政策并没有减少儿童的转换,一些退出继续存在.
结论:
- 连续保险政策在PHE期间有效地减少了成年医疗补助计划注册人群的无保险.
- 政策制定者应该考虑长期的连续覆盖,以减轻医疗补助的流失.
- 解除PHE需要制定战略,以保持稳定的医疗保险准入.
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