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通过医疗补助计划覆盖未参保成年人:来自俄勒冈州医疗计划的经验教训。

Covering uninsured adults through Medicaid: lessons from the Oregon health plan.

作者信息

Haber S G, Khatutsky G, Mitchell J B

出版信息

Health Care Financ Rev. 2000 Winter;22(2):119-35.

Abstract

The Oregon Health Plan (OHP), Oregon's section 1115 Medicaid waiver program, expanded eligibility to all residents living below poverty. We use survey data, as well as OHP administrative data, to profile the expansion population and to provide lessons for other States considering such programs. OHP's eligibility expansion has proved a successful vehicle for covering large numbers of uninsured adults, although most beneficiaries enroll for only a brief period of time. The expansion population, particularly childless adults, is relatively sick and has high service use rates. Beneficiaries are also likely to enroll when they are in need of care.

摘要

俄勒冈健康计划(OHP)是俄勒冈州的第1115条医疗补助豁免计划,将资格扩大到所有生活在贫困线以下的居民。我们使用调查数据以及OHP行政数据,来描述扩大覆盖人群的特征,并为其他考虑此类计划的州提供经验教训。OHP资格的扩大已被证明是覆盖大量未参保成年人的成功手段,尽管大多数受益人参保时间较短。扩大覆盖人群,尤其是无子女成年人,健康状况相对较差,服务使用率较高。受益人在需要护理时也可能参保。

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