资格援助增加了社区卫生中心的保险入学率,但不是在州一级
Leighton Ku1, Kristine Namhee Kwon2, Feygele Jacobs3
1Leighton Ku (lku@gwu.edu), George Washington University, Washington, D.C.
Health affairs (Project Hope)
|May 5, 2025
概括
社区卫生中心社区卫生中心
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
- 公共卫生政策 公共卫生政策
背景情况:
- 众所周知,社区卫生中心 (CHC) 可以减少联邦医疗支出.
- 人们担心,中医疗中心提供的资格援助服务可能会增加保险入学率和联邦费用.
- 了解这些服务的影响对于医疗保健政策和资源分配至关重要.
研究的目的:
- 分析CHC工作人员提供的资格援助对健康中心和州级保险入学的影响.
- 为了确定由于资格援助而增加的保险入学率是否会导致更高的联邦成本.
- 评估资格援助对医疗保健中心内无保险患者数量的影响.
主要方法:
- 使用双向固定效应的多变量小组分析.
- 数据涵盖了2016年至2023年期间.
- 利用来自医疗健康中心的行政数据和医疗补助,儿童健康保险计划 (CHIP) 和医疗保险市场的州级入学数据.
主要成果:
- 更高的资格援助人员人数与医疗保健中心医疗补助和CHIP入学率的适度增加有关.
- 在增加资格援助的CHC中观察到不保险患者的适度减少.
- 资格援助和医疗保健中心规模并没有显著影响医疗补助,CHIP或市场的州级入学率.
结论:
- 资格援助适度地提高了CHC患者的保险覆盖,改善了财务状况和护理能力.
- 这项援助并没有显著增加州级在公共保险计划或联邦支出中的整体招生.
- 医疗保健中心在增加患者保险覆盖率方面发挥着作用,而不会显著改变更广泛的联邦成本.
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