医疗补助机制和国家许可:在辅助生活中支付付款的途径
Rachel Gunderson1, Lindsey Smith2, Portia Y Cornell3
1Department of Economics, Brown University, Providence, RI, USA.
Journal of the American Medical Directors Association
|October 31, 2025
概括
大多数辅助生活社区可以接受医疗补助支付,但资格因州和许可证类型而异. 这影响了居民获得护理和服务的机会.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共政策 公共政策
背景情况:
- 医疗补助家庭和社区服务 (HCBS) 对于支持辅助生活 (AL) 的人来说至关重要.
- 了解符合医疗补助支付资格的AL许可证的景观对于政策和获取至关重要.
研究的目的:
- 记录和突出介绍医疗补助家庭和社区服务 (HCBS) 支付资格的辅助生活 (AL) 许可机构的变化.
- 分析不同医疗补助支付机制对AL许可证资格的影响.
主要方法:
- 一项观察性描述性研究分析了2019年所有50个州和华盛顿特区的32,991个许可AL社区.
- 检查了6个医疗补助机制 (豁免和州计划修正) 并记录了符合条件的AL许可证.
- 符合条件和不符合条件的AL许可证的比较特征,包括容量和地理位置.
主要成果:
- 89%的AL社区有资格通过各种机制获得医疗补助.
- 45个州和DC在AL有医疗补助补偿机制,其中13个州将资格限制在特定许可证上.
- 符合条件的AL社区的平均容量比不符合条件的社区要小.
结论:
- 虽然大多数AL社区有资格获得医疗补助,但州级支付机制和许可证类型的变化会影响到可访问性.
- 医疗补助政策,通过支付机制和许可证类型,影响AL环境中服务的可用性和范围.
- 需要进一步的研究,以了解这些政策对居民获取和护理的全部影响.
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