成年人离开永久支持性住房后,医疗补助支出是否会增加?
Evan S Cole1, Mara A G Hollander2, Molly Ennis3
1Department of Health Policy and Management, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
概括
永久支持性住房 (PSH) 即使在个人退出该计划后,也可能提供持续的医疗补助储蓄. 研究表明,退出后医疗保健支出减少,这表明州医疗补助机构的长期预算收益.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 无家可归严重影响医疗保健的利用率和成本.
- 永久支持性住房 (PSH) 与医疗补助储蓄有关,但退出后的影响尚不清楚.
- 了解长期成本影响对于医疗补助等支付人来说至关重要.
研究的目的:
- 调查个人退出PSH后医疗补助支出的变化.
- 为了确定医疗保健成本的节约是否在计划后继续存在.
主要方法:
- 连接了宾夕法尼亚州的医疗补助和住房数据.
- 分析了580名成年注册人员在PSH退出前后12个月的支出.
- 调整后的分析控制了相关的共变量.
主要成果:
- 在退出后,估计的每月医疗补助支出在第一季度下降了200.32,在第三季度下降了267.63美元.
- 调查结果表明,国家医疗补助机构的预算受益持续.
- 需要进一步的研究来证实长期的支出削减,并排除不充分利用护理.
结论:
- 永久支持性住房 (PSH) 可能为医疗补助计划带来持久的财务优势.
- 退出后的支出削减表明,在计划参与之后,有潜力继续节省.
- 长度研究是必要的,以验证持续的好处,并确保适当的护理利用.
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