2019-2022年调查报告的覆盖范围和解开医疗补助持续资格的影响
Adrianna McIntyre1, Rebecca B Smith1, Benjamin D Sommers1,2
1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
JAMA health forum
|April 5, 2024
概括
在COVID-19大流行期间,医疗补助计划的入学人数激增,但许多受益者仍然不知道他们的持续覆盖. 这凸显了医疗补助计划结束期间潜在的覆盖率差距.
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
- 医疗保险 医疗保险 医疗保险
背景情况:
- COVID-19 流行病和政策变化影响了医疗覆盖率.
- 医疗补助的连续保险条款的到期可能会导致严重的保险损失.
- 了解最近的覆盖趋势对于预测Medicaid解散的影响至关重要.
研究的目的:
- 利用2019-2022年的调查数据,分析国家和州级医疗补助,私人保险和未保险费率的变化.
- 将基于调查的覆盖率变化与行政医疗补助入学数据进行比较.
- 评估调查数据的准确性,以反映实际的医疗补助招生变化.
主要方法:
- 采用全国代表性的美国社区调查 (ACS) 数据 (2019-2022) 的横截面研究.
- 与来自医疗保险和医疗补助服务中心 (CMS) 的行政医疗补助和儿童健康保险计划 (CHIP) 注册数据进行比较.
- 分析自我报告的保险状况 (医疗补助,无保险,私人保险,医疗保险).
主要成果:
- 行政数据显示,从2019年到2022年,医疗补助覆盖率增加了5.2个百分点.
- 调查数据显示较小的变化:无保险费率下降1.2个百分点,自我报告的医疗补助增加1.3个百分点.
- 观察到调查中医疗补助入学人数不足的比例增加了3.9个百分点,特别是在儿童中.
结论:
- 尽管无保险人数下降,但调查报告的医疗补助入学人数远远落后于大流行期间的行政增加.
- 由于持续覆盖的规定,许多人可能仍然不知道他们继续获得医疗补助计划的覆盖.
- 调查结果强调了持续覆盖政策对于维持医疗保健准入的重要性,并对在Medicaid解散期间预测覆盖变化产生影响.
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