当州医疗补助演示结束时:在MassHealth住房支持计划过渡后,预计资格丧失
Nicole C McCann1, Heather E Hsu2,3, Stephanie Ettinger de Cuba1,3
1Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.
Health affairs scholar
|November 21, 2025
概括
马萨诸塞州的医疗补助计划
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
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 马萨诸塞州医疗补助 (MassHealth) 正在将其基于第1115条豁免的住房支持计划转变为2025年的永久计划.
- 这一过渡涉及对住房支持计划实施新的资格限制.
研究的目的:
- 预测更新的资格标准对获得MassHealth住房支持计划的影响.
- 识别可能失去资格的个人的特征.
主要方法:
- 利用相关的行政索赔和计划数据进行预测.
- 分析了2021年至2024年的入学数据,以评估2025年资格标准的影响.
主要成果:
- 据估计,在2021-2024年期间注册的68%的个人将不再符合新的2025年标准.
- 预计仍有资格的个人年龄较大,患有更多慢性疾病,医疗保健利用率更高.
- 在符合条件和不符合条件的群体中,阿片类药物使用障碍和精神疾病的患病率相似.
结论:
- 该研究强调了优先考虑医疗补助豁免计划中的资格的潜在意外后果.
- 这些计划的运营转换可以显著改变获得基本支持服务的机会.
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