Adams E K, Ellwood M R, Pine P L
Health Care Financ Rev. 1989 Fall;11(1):1-24.
Recently available data on major disabling conditions of the Supplemental Security Income disabled are used to examine 1984 patterns of Medicaid expenditures in California, Georgia, Michigan, and Tennessee. Results indicate that 37-58 percent of these expenditures are for enrollees whose major disabling condition involves mental retardation or other mental disorders. This pattern occurs because a high proportion of disabled enrollees have these conditions, rather than high expenses per enrollee. Annual Medicaid expenditures per enrollee were highest for the disabled with neoplasms, blood disorders, and genitourinary conditions. Expenditures per enrollee were higher for younger enrollees and lower for those dually enrolled in Medicare.
最近获取的关于补充保障收入计划中残疾人士主要致残状况的数据，被用于研究1984年加利福尼亚州、佐治亚州、密歇根州和田纳西州的医疗补助支出模式。结果表明，这些支出的37%至58%用于主要致残状况涉及智力迟钝或其他精神障碍的参保者。出现这种模式的原因是，残疾参保者中很大一部分人患有这些疾病，而非每位参保者的费用高昂。患有肿瘤、血液疾病和泌尿生殖系统疾病的残疾人士，其每位参保者的年度医疗补助支出最高。年轻参保者的人均支出较高，而同时参加医疗保险的参保者人均支出较低。
