医疗保险覆盖缺口和在残疾医疗保险入学者中使用避孕药
Meghan Bellerose1, Jacqueline Ellison2, Maria W Steenland1,3
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.
JAMA network open
|June 25, 2025
概括
避孕药的医疗保险覆盖缺口与残疾妇女使用的减少有关. 获得双重医疗保险和医疗补助计划的覆盖范围增加了避孕药的使用,突出了财务障碍和全面医疗保险避孕药覆盖的需要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 生殖健康 生殖健康
背景情况:
- 医疗保险为150万名残疾生殖年龄妇女提供保险.
- 与其他主要的美国医疗保险公司不同,医疗保险没有义务为预防怀孕的避孕药提供保险.
- 这为残疾受益者创造了潜在的覆盖差距.
研究的目的:
- 调查医疗保险的避孕措施覆盖率差距与残疾登记者减少使用避孕措施之间的关联.
- 评估通过双重医疗保险和医疗补助计划获得避孕保险对避孕使用的影响.
主要方法:
- 一项全国性,横截面研究分析了2016-2020年期间的医疗保险和医疗补助申请数据.
- 包括20-49岁的接受残疾福利 (SSDI/SSI) 的女性入学者.
- 使用倾向性得分权重和差异设计来评估双重招生对避孕药使用的影响.
主要成果:
- 分析包括来自160万名妇女的5100多万个月观察结果.
- 传统医疗保险 (TM) 和医疗保险优势 (MA) 登记者使用避孕药的概率最低.
- 获得双重医疗保险和医疗补助计划的覆盖率与任何避孕方法使用的3.9个百分点的增加 (35%的增加) 有关.
结论:
- 医疗保险的避孕措施覆盖率缺口对残疾登记者所需的避孕措施的使用构成了经济障碍.
- 双重医疗保险和医疗补助计划的招生显著增加了避孕药的使用,特别是短效避孕方法.
- 医疗保险应该被授权覆盖所有FDA批准的避孕药,而无需成本共享,以与其他主要保险公司保持一致.
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