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在低收入的医疗保险优势受益者中,与成本相关的未满足的牙,视觉和听力需求
Avni Gupta1, Kenton J Johnston2, Diana Silver3
1Avni Gupta (agupta@cmwf.org), Commonwealth Fund, New York, New York.
低收入的医疗保险受益者经常面临牙科,视力和听力护理的未满足需求,即使有补充福利. 较高的计划评级与更好的牙医接入相关,但目前的监督不足.
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
- 老年学是一门学科.
背景情况:
- 医疗保险优势 (MA) 补充福利对低收入人群至关重要.
- 数十亿的折扣资助了这些福利,但质量和获取缺乏监控.
研究的目的:
- 调查MA补充福利,计划质量评级和低收入受益人的未满足需求之间的关系.
- 评估补充福利的公平性和获取差异.
主要方法:
- 2018-19年医疗保险当前受益者调查数据与MA计划信息相关的分析.
- 检查由于成本而未满足的需求 (牙科,视力,听力),按收入和计划星级分层.
主要成果:
- 低收入受益者经常报告对牙科,视觉和听力护理的未满足需求,而不管福利的慷慨.
- 注册更高评级的MA计划 (同一年的评级) 与减少牙科未满足需求有关.
- 牙科护理需求的收入相关差异在最高评级的计划中较小.
结论:
- 目前对MA补充益处的监测可能无法确保弱势群体获得公平的机会.
- 政策制定者应该加强对补充福利的监督,并评估质量奖金对受益人获取机会的影响.
- 需要进一步的研究来了解质量奖金支付的价值,以改善获得护理的机会.
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