注册和不知情:Medicaid注册人员错误报告其覆盖范围的特征 状态 状态
Daniel B Nelson1, Jane M Zhu1,2, K John McConnell2
1Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR 97239, United States.
Health affairs scholar
|January 23, 2026
概括
许多医疗补助计划注册者错误地认为他们缺乏保险,面临护理障碍. 解决这种覆盖混乱对于确保所有符合条件的个人平等获得医疗保健服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 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:
- 调查显示,大量的医疗补助计划注册者错误地报告没有保险.
- 这种注册错误报告可能会导致由于感知到负担能力问题而延迟或避免医疗保健.
研究的目的:
- 为了识别错误报告其覆盖状况的医疗补助登记者的特征.
- 分析覆盖率错误报告对医疗保健获取,利用和支出模式的影响.
主要方法:
- 使用了COVID-19医疗补助持续覆盖条款.
- 识别了错误报告的招生人群的社会人口统计和健康特征.
- 准确报道者与错误报道者之间的医疗保健获取,利用和支出比较.
主要成果:
- 11.5%的入学者错误地报告了他们的医疗补助计划.
- 错误报告的受注者分为两组:报告没有保险的人和报告其他保险的人.
- 与准确的医疗补助报告员相比,报告没有保险的登记者面临更多与成本相关的障碍,利用率较低,每年花费1682美元较少.
结论:
- 寻求医疗保健的行为受到感知到的医疗补助入学状态的影响.
- 覆盖范围的混乱可能会阻碍获得必要的医疗服务.
- 政策和计划干预是必要的,以帮助注册个人有效地利用他们的医疗补助福利.
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