实施自动化的医疗补助资格更新与更高水平的计划参与度没有关联
Daniel B Nelson1, Phillip M Singer2, Vicki Fung3
1Department of Population Medicine, Harvard Medical School, Boston, MA 02215, United States.
Health affairs scholar
|June 6, 2024
概括
根据"平价医疗法案"规定的自动化医疗补助更新流程,没有增加符合条件的低收入成人和儿童的参与率. 需要进一步的研究来解决医疗补助入学和保留持续存在的障碍.
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:
- 改善低收入人群获得护理的机会至关重要.
- 在医疗补助计划的注册和更新方面,行政负担是重大障碍.
- 负担得起的医疗保健法案规定自动更新资格,以减少这些负担.
研究的目的:
- 评估州采用自动化医疗补助更新流程对参与率的影响.
- 确定与符合条件的个人中医疗补助参与率较低相关的因素.
主要方法:
- 对2015-2019年美国社区调查数据的分析.
- 对非残疾人,非老年人和儿童的州级医疗补助参与率的检查.
- 评估自动更新采用率与参与率之间的关联.
主要成果:
- 医疗补助参与率因州而异,平均为成人70.8%,儿童90.7%.
- 在符合条件的成年人中,年轻人,男性,未婚人,无子女家庭和非扩张州的参与率较低.
- 国家采用自动续约的情况与参与率的变化没有相关性.
结论:
- 当前的自动更新流程可能有局限性或其他障碍妨碍医疗补助参与.
- 解决不符合资格的更新障碍是必不可少的,因为医疗补助计划扩大,流行病入学保护结束.
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