消除儿童医疗保险计划等待期与儿童入学的关联
Erica L Eliason1,2, Amal Trivedi3, Patrick Vivier4
1Rutgers Center for State Health Policy, Rutgers University, 112 Paterson St, 5th Floor, New Brunswick, NJ, 08901, USA. erica.eliason@rutgers.edu.
Maternal and child health journal
|August 30, 2025
概括
根据"负担得起的医疗保健法" (ACA) 消除儿童医疗保险计划 (CHIP) 的等待期,导致儿童入学率大幅增加16%. 这一政策变化对儿童获得CHIP覆盖的机会产生了积极影响.
科学领域:
- 医疗服务研究
- 公共卫生政策
- 儿童健康保险
背景情况:
- 从历史上看,大多数州在儿童健康保险计划 (CHIP) 中注册之前都规定了等待期.
- 负担得起的医疗保健法 (ACA) 规定了最长90天的等待期,促使各州减少或取消这些要求.
研究的目的:
- 研究国家一级消除CHIP等待期与儿童入学率之间的关联.
- 量化ACA驱动的政策变化对CHIP入学的影响.
主要方法:
- 使用来自医疗保险和医疗补助服务中心 (2010-2019) 的年度州入学数据.
- 在20个消除等待时间的州与维持等待时间的14个州的CHIP入学比例进行了比较.
- 使用差异模型来评估等待期消除的影响.
主要成果:
- 废除等待期的国家的CHIP入学率从10.86%上升到13.43%.
- 消除等待期与儿童加入CHIP的统计学上显著增加1. 75%相关.
- 与政策实施前的水平相比,招生人数增加了约16%.
结论:
- 根据ACA取消CHIP等待期导致儿童入学率有所增加.
- 这些发现强调了消除入学障碍对儿童获得医疗保险的积极影响.
- 九个州继续维持等待期, 这表明招生人数可能进一步增加.
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