恢复医疗补助资格的重新确定:整体保险覆盖的变化很小
Sumedha Gupta1, Christopher Behrer2, Velda Wang3
1Sumedha Gupta (sugupta@iu.edu), Indiana University Indianapolis, Indianapolis, Indiana.
Health affairs (Project Hope)
|October 23, 2024
概括
医疗补助连续覆盖结束于2023年3月31日. 早期数据显示,医疗补助计划的入学人数下降了200万,但整体而言,无保险的影响很小,其他保险抵消了损失.
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 医疗保险 医疗保险
背景情况:
- COVID-19公共卫生紧急情况的结束导致医疗补助持续覆盖的终止.
- 从2023年4月开始,各州恢复了资格确定 (医疗补助取消).
- 医疗补助计划解散对非保险费率的影响以前是未知的.
研究的目的:
- 为了估计医疗补助计划放松对保险覆盖的早期影响.
- 分析19-64岁成年人覆盖率的变化.
- 评估从医疗补助到其他形式的医疗保险的过渡.
主要方法:
- 利用了美国人口普查局的家庭脉冲调查数据.
- 专注于医疗补助重新确定恢复后的最初三个月.
- 自我报告的医疗补助覆盖范围和整体保险状况的估计变化.
主要成果:
- 大约有200万个人报告医疗补助覆盖率下降.
- 总体覆盖率的统计学上微不足道的下降约467,000人被观察到.
- 雇主赞助的保险和私人保险似乎抵消了许多人的医疗补助损失.
结论:
- 恢复医疗补助资格重新确定对无保险的影响小于预期.
- 在解期间跟踪覆盖范围的转变对于识别风险人群至关重要.
- 数据可以为市场覆盖和补贴提供州外展和招生援助.
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