在医疗补助终止期间,儿童在儿童健康保险计划 (CHIP) 覆盖范围中的儿童入学
Erica L Eliason1,2, Daniel B Nelson3, Aditi Vasan4,5
1Center for State Health Policy, Rutgers University, New Brunswick, New Jersey, USA.
Health services research
|December 19, 2025
概括
孩子 孩子 孩子 孩子
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
- 儿童健康保险是儿童的健康保险.
背景情况:
- 家庭首先应对冠状病毒法案 (FFCRA) 暂时暂停了医疗补助计划的退出.
- 不断招生条款的废除对维持儿童医疗保险提出了挑战.
- 了解医疗补助和儿童健康保险计划 (CHIP) 的入学动态至关重要.
研究的目的:
- 分析儿童在FFCRA解除期间的医疗补助和CHIP入学变化.
- 为了确定CHIP招生是否弥补了医疗补助招生人数下降的情况.
主要方法:
- 利用来自32个州和哥伦比亚特区 (2023年4月至2024年9月) 的每月儿童入学数据.
- 采用线性概率模型和月度指标来估计招生变化.
- 根据CHIP结构类型的差异化分析 (组合与医疗补助扩展).
主要成果:
- 儿童的医疗补助入学率大幅下降,从48.1%降至41.2%.
- CHIP入学率保持稳定,在8.7%至8.6%之间波动.
- 没有观察到CHIP入学人数显著增加,以抵消医疗补助下降,特别是在结合CHIP的州.
结论:
- 在没有相应的CHIP收益的情况下,儿童在解锁期间经历了大量的医疗补助入学损失.
- 迫切需要政策来防止行政流失,并确保覆盖的连续性.
- 医疗补助和CHIP之间的无过渡对于儿童医疗保险的稳定性至关重要.
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