Wade M, Berg S
Urban Institute, Washington, DC 20037, USA.
Health Care Financ Rev. 1995 Spring;16(3):11-25.
Expenditures for the Medicaid program grew at the alarming and unexpected average annual rate of nearly 20 percent from 1989 ($58 billion) to 1992 ($113 billion). These statistics raise a critical question: What caused spending to grow so dramatically? Using State-level data from 1984-92, this analysis examines the determinants of Medicaid expenditure growth. The results indicate that Medicaid enrollment, Federal Medicaid policy, and State policy are significantly related to Medicaid expenditure growth. The analysis also finds the prevalence of acquired immunodeficiency syndrome (AIDS) to be significantly related to Medicaid expenditures.
医疗补助计划的支出从1989年（580亿美元）到1992年（1130亿美元）以近20%这一惊人且出乎意料的年均增长率增长。这些统计数据提出了一个关键问题：是什么导致支出如此急剧地增长？利用1984 - 1992年的州级数据，本分析考察了医疗补助支出增长的决定因素。结果表明，医疗补助参保人数、联邦医疗补助政策和州政策与医疗补助支出增长显著相关。该分析还发现获得性免疫缺陷综合征（艾滋病）的流行与医疗补助支出显著相关。
