资产消耗和医疗补助在养老院的入学
Gabriella Aboulafia1, Amanda C Chen2,3, David C Grabowski4
1PhD Program in Health Policy, Harvard University, Cambridge, Massachusetts.
JAMA network open
|December 4, 2025
概括
许多在没有医疗补助计划的情况下开始的养老院居民将他们的资产用于注册,特别是在更长的停留期间. 这凸显了人们对个人贫困和医疗补助计划可持续性的担忧.
科学领域:
- 老年学是一门学科.
- 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:
- 医疗补助计划对养老院护理的资格取决于资产支出减少以达到州门.
- 在过去二十年中,对养老院医疗补助支出下降率的实证研究是有限的.
研究的目的:
- 为了确定美国养老院居民中医疗补助支出下降的速度.
- 为了确定与医疗补助支出在养老院逗留期间下降相关的因素.
主要方法:
- 一项队列研究分析了2018-2022年美国191,416名养老院居民的行政,入学和索赔数据.
- 该研究的重点是2018年新进入养老院的个人,他们最初没有参加医疗补助计划,占医疗保险覆盖的熟练护理设施 (SNF) 天.
主要成果:
- 在最初没有注册医疗补助计划的居民中,16.4%的人在入住期间花费资产注册 (平均花费时间:6.1个月).
- 随着停留时间的延长,消费的可能性增加,在黑人,西班牙裔,美洲原住民和年轻居民中更高.
结论:
- 最初没有参加医疗补助计划的养老院居民面临着资产支出下降的重大风险,特别是在长时间的护理期间.
- 调查结果引发了人们对因高医疗费用和医疗补助计划的财务可持续性而导致个人贫困的担忧.
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