Ellwood M R, Burwell B
SysteMetrics/McGraw-Hill, Lexington, MA 02173.
Health Care Financ Rev. 1990 Dec;Spec No(Suppl):133-48.
The most pervasive eligibility-related problems encountered by low-income disabled persons in gaining access to Medicaid and Medicare are reviewed in this article. A series of options for restructuring program eligibility requirements are presented, with particular attention to improving the plight of the low-income disabled worker during the 24-month waiting period for Medicare. Options for Medicaid involve nationwide income eligibility levels at 100 percent of poverty and mandatory buy-in provisions to Medicaid in all States. For Medicare, the reforms range from altering the waiting period for Medicare by the disabled who are expected to die within 24 months after benefit award to eliminating the waiting period altogether.
本文回顾了低收入残疾人在获得医疗补助和医疗保险时遇到的最普遍的与资格相关的问题。提出了一系列调整项目资格要求的方案，尤其关注改善低收入残疾工人在医疗保险24个月等待期内的困境。医疗补助的方案包括全国统一的100%贫困线收入收入资格收入水平以及所有州向医疗补助计划的强制性参保规定。对于医疗保险而言，改革措施从改变预计在福利授予后24个月内死亡的残疾人的医疗保险等待期到完全取消等待期不等。
