在COVID-19期间延长怀孕医疗补助和分娩后一年的入学和医疗保健使用
Erica L Eliason1,2, Maria W Steenland3, Rebecca A Gourevitch3
1Center for State Health Policy, Rutgers University.
The Milbank quarterly
|March 15, 2026
概括
家庭首先应对冠状病毒法案 (FFCRA) 延长了产后医疗补助计划,增加了入学率和护理的连续性. 然而,需要提高认识,以充分转化这一覆盖范围为改善心理健康和紧急服务的准入.
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
- 卫生经济学 卫生经济学
背景情况:
- 在COVID-19大流行之前,产后医疗补助覆盖范围仅限于60天.
- "家庭首要应对冠状病毒法案" (FFCRA) 规定,对于怀孕的孕妇,必须提供持续的产后医疗补助.
- 这一政策的变化旨在通过扩大获得保险的机会来改善产后健康结果.
研究的目的:
- 评估延长产后医疗补助覆盖范围对医疗保健利用的影响.
- 评估医疗补助招生,覆盖的连续性和医疗保健服务使用的变化.
- 了解持续覆盖如何影响产后护理的获得和结果.
主要方法:
- 使用差异差异设计分析来自15个州 (2019-2022) 的医疗补助索赔数据.
- 在2019年1月至2021年12月期间接受了怀孕医疗补助计划所涵盖的分娩的检查.
- 评估结果包括医疗补助招生,保险连续性,急诊室访问和产后3至12个月的心理健康诊断.
主要成果:
- 延长产后医疗补助资格与平均2.9个额外的月份的入学有关.
- 观察到12个月连续的医疗补助覆盖率 (27.3个百分点) 显著增加.
- 医疗补助计划支付的急诊室访问和心理/行为健康诊断增加,但门诊和与怀孕有关的护理没有.
结论:
- 根据FFCRA的持续产后医疗补助覆盖改善了入学时间和一些医疗保健利用率,特别是在紧急和心理健康服务方面.
- 门诊和与怀孕相关的护理缺乏增加表明潜在的障碍,可能与入学者对延长资格的意识有关.
- 加强沟通和宣传至关重要,以确保受益人能够充分利用扩大产后医疗补助覆盖范围的必要医疗保健服务.
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