阿肯色州医疗补助工作要求对覆盖和就业的影响:利用国家调查数据估计影响
Anuj Gangopadhyaya1, Michael Karpman2
1Quinlan School of Business, Loyola University Chicago, Chicago, Illinois, USA.
Health services research
|April 10, 2025
概括
阿肯色州的阿肯色州
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:
- 医疗补助豁免允许各州测试医疗保健提供创新的方法.
- 阿肯色州实施了第1115条豁免,为成人医疗补助受益人引入了工作要求.
- 了解这些要求对保险覆盖和就业的影响对于政策评估至关重要.
研究的目的:
- 评估阿肯色州成人医疗补助工作要求对健康保险覆盖和就业的影响.
- 评估对不同收入水平的个人的影响,特别是那些低于联邦贫困线100%的人.
主要方法:
- 利用2016-2019年美国社区调查数据进行差异分析.
- 对阿肯色州可能没有豁免的成年人与其他医疗补助扩张州的类似人群之间的覆盖和就业变化进行了比较.
- 在治疗前和治疗后期间观察到的变化的统计显著性测试中使用随机推断.
主要成果:
- 工作需求与阿肯色州30-49岁成年人中无保险增加了4.4个百分点.
- 无保险人数的增加在收入低于联邦贫困线100% (7.4个百分点) 的个人中最为明显.
- 没有观察到就业或工作力度的重大变化,覆盖范围的影响仅限于目标群体.
结论:
- 阿肯色州的医疗补助工作要求政策导致了目标成年人群的不保险增加.
- 该政策并没有导致受影响个人的就业或工作努力发生重大变化.
- 调查结果突出了工作需求造成的潜在覆盖差距,特别是在低收入人群中.
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