家庭第一次冠状病毒应对法案对医疗补助受益人覆盖的连续性和获取的影响
Wei Lyu1, George L Wehby2,3
1University of Memphis, Memphis, TN, USA.
Inquiry : a journal of medical care organization, provision and financing
|September 24, 2024
概括
家庭首先应对冠状病毒法案 (FFCRA) 改善了医疗补助覆盖的连续性和受益人获得医疗保健的机会. 这一政策减少了低收入成年人的覆盖率中断和负担不起的医疗保健需求.
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3月颁布的"家庭首先应对冠状病毒法案" (FFCRA) 暂停了医疗补助资格重新确定.
- 关于FFCRA对Medicaid受益者覆盖的连续性,获取和利用的影响的证据有限.
- 了解这些影响对于评估政策在健康公平方面的作用至关重要.
研究的目的:
- 评估FFCRA的连续医疗补助覆盖条款对覆盖稳定的影响.
- 检查FFCRA对非老年人,低收入成年人的医疗保健获取和利用的影响.
- 为了比较医疗补助受益人与私人保险人的结果.
主要方法:
- 使用国家卫生访谈调查数据 (2015-2022) 进行的横截面研究.
- 差异分析比较医疗补助和私人保险的非老年人 (19-64岁) 在联邦贫困水平的300%以下.
- 分析的重点是覆盖率中断,医疗保健负担能力和服务利用率.
主要成果:
- 与私人保险人员相比,2021-2022年医疗补助受益人覆盖率中断显著下降.
- 2021年,医疗补助受益人获得医疗保健的机会有所改善,报道医疗费用过高导致无法负担的护理和延迟医疗访问的情况较少.
- 没有发现对住院率,急诊室访问或常规医生访问的显著影响.
结论:
- 联邦医疗补助局 (FFCRA) 持续提供医疗补助覆盖,提高了覆盖的稳定性,并改善了符合条件的受益人获得护理的机会.
- 调查结果表明,促进医疗补助覆盖连续性的政策可以为弱势群体带来实质性的好处.
- 未来的政策举措可以利用持续的覆盖率来加强医疗安全和医疗补助计划的入学者获得医疗服务.
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