通过国家医疗保险援助计划 (SHIP) 获得保险导航支持
Melissa M Garrido1,2, David Biko1,2, Allison Dorneo1,2
1Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System, Boston, MA 02130, United States.
Health affairs scholar
|June 24, 2024
概括
国家医疗保险援助计划 (SHIP) 服务面临志愿者短缺,影响低收入的医疗保险受益者. 建议增加辅导员和医疗补助培训,以改善获得重要的医疗保险信息的机会.
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 获得 医疗保险 获取
背景情况:
- 医疗保险招生带来了挑战,特别是对于那些双重获得医疗保险和医疗补助的低收入个人来说.
- 错误的计划选择可能会对受益人的自付费用和获得护理和处方的机会产生负面影响.
- 国家医疗保险援助计划 (SHIP) 提供医疗保险咨询服务,但对低收入人群的可访问性尚不清楚.
研究的目的:
- 调查影响低收入医疗保险受益人获得SHIP服务的可及性和质量的因素.
- 了解SHIP顾问和协调员在向这群人提供服务方面的经验.
主要方法:
- 质量研究,包括采访SHIP顾问和协调员.
- 探索低收入受益人使用SHIP服务所感知的障碍和促进因素.
主要成果:
- 一个主要的障碍是,SHIP志愿者的可用性有限.
- 咨询经常涉及与双重医疗保险和医疗补助资格相关的问题.
- 工作人员表示需要加强对医疗补助和综合护理模式的培训.
结论:
- 解决志愿者短缺问题对于扩大SHIP的覆盖范围到低收入受益者至关重要.
- 对SHIP员工进行双重资格和综合护理方面的加强培训可以提高服务质量.
- 这些改进可能会加强向弱势的医疗保险人群提供医疗保险信息.
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