协会的社会脆弱性和获得更高质量的医疗保险优势计划
Hansoo Ko1, Ghaida Alsadah1, Gilbert Gimm2
1Department of Health Administration and Policy, College of Public Health, George Mason University, Fairfax, USA.
具有更高质量评级的医疗保险优势 (MA) 计划在社会脆弱地区的可用性较低. 这种差异不成比例地影响到边缘化社区,可能会扩大健康不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 卫生政策 卫生政策
背景情况:
- 超过一半的医疗保险受益人被纳入医疗保险优势 (MA) 计划.
- 确保获得高质量的MA计划是一个关键的政策问题.
- 在社会脆弱地区,高质量的MA计划的有限可用性可能源于私人保险公司不愿意为这些市场提供服务.
研究的目的:
- 检查市场级社会脆弱性指数 (SVI) 评分与高质量的MA计划数量之间的关联.
- 调查社会需求如何影响Medicare Advantage计划的可用性.
主要方法:
- 2020年对3113个美国县进行了回顾性横截面研究.
- 主要结果:高质量的MA计划的可用性 (5星级,4.5星级,4星级).
- 二次结果:MA计划评估保险商市场参与的总数.
主要成果:
- 具有更高SVI分数 (更大的社会需求) 的市场具有更少的高质量MA计划.
- 与最脆弱的市场相比,最脆弱的市场有1.1个少于4+星的MA计划.
- 这种负面关联在南部地区更为明显,黑人/非裔美国人人口比例更高.
结论:
- 获得高质量的MA计划的差异可能会加剧边缘化群体现有的健康不平等.
- 在社会脆弱地区监测MA计划的可用性对于促进健康公平至关重要.
- 可能需要政策干预,以确保平等获得优质的医疗保险优势计划.
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