持续的资格政策和CHIP结构影响了儿童在医疗补助终止期间的保险损失
Erica Eliason1, Daniel Nelson2, Aditi Vasan3
1Erica Eliason (erica.eliason@rutgers.edu), Rutgers University, New Brunswick, New Jersey.
Health affairs (Project Hope)
|March 3, 2025
概括
医疗补助计划的连续入学结束导致儿童医疗保险的大幅下降. 具有持续资格政策和特定CHIP结构的州的下降幅度较小,这表明保持覆盖范围的方法.
科学领域:
- 卫生政策 卫生政策
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- "家庭首先应对冠状病毒法案" (FFCRA) 提供了医疗补助计划的持续入学.
- 2023年4月FFCRA条款的解除允许各州恢复医疗补助资格重新确定.
- 数以百万计的受益者,特别是儿童,面临着可能失去医疗保险的危险.
研究的目的:
- 在医疗补助终止期间检查儿童的医疗补助和儿童健康保险计划 (CHIP) 覆盖范围的变化.
- 分析国家政策,如持续资格和CHIP计划结构,如何影响儿童的覆盖连续性.
主要方法:
- 使用的医疗保险和医疗补助服务中心从2021年1月到2023年12月的每月州招生数据.
- 分析了49个州和华盛顿特区儿童的入学变化.
- 基于各州先前的12个月连续资格政策和CHIP计划结构 (单独,医疗补助扩展或组合) 的覆盖趋势比较.
主要成果:
- 与FFCRA连续招生期相比,在放松期间观察到儿童中医疗补助和CHIP入学率明显较低.
- 之前有12个月连续资格政策的州儿童的覆盖率下降较小.
- 与组合CHIP计划相比,拥有单独CHIP或Medicaid扩展CHIP计划的州对儿童的覆盖持续性更好.
结论:
- 取消FFCRA持续入学条款对儿童的医疗补助和CHIP入学产生了重大影响.
- 国家层面的政策,包括持续的资格和特定的CHIP计划设计,在减轻儿童覆盖损失方面发挥着至关重要的作用.
- 这些发现强调了政策干预的重要性,以确保儿童的持续健康覆盖.
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