Hall Mark A, Hamacher Linda, Johnson James M
Law and Public Health at Wake Forest University, USA.
J Health Care Poor Underserved. 2012 Feb;23(1):327-38. doi: 10.1353/hpu.2012.0025.
This commentary examines Genesee County (Flint) Michigan to explore whether a well-structured safety net system is able to provide low-income uninsured people adequate access to care at a reasonable cost. Genessee County is one of the more economically challenged communities in the country. This commentary explores the cost and adequacy of safety net care in Genessee County under the Genessee Health Plan (GHP). The analysis compares the cost of services under GHP to the cost of the same services offered by local private insurers and Medicaid. An analysis found that GHP, Flint-area physicians, hospitals, and foundations have succeeded in providing basic medical care access to a substantial majority of their low-income uninsured citizens. The costs of care, both paid by GHP and donated by local providers, are substantially less than the estimated costs if this population were covered by full Medicaid or private insurance.
本评论文章以密歇根州杰纳西县（弗林特）为例，探讨一个结构完善的安全网系统是否能够以合理的成本为低收入未参保人群提供充足的医疗服务。杰纳西县是美国经济较为困难的社区之一。本评论文章探讨了在杰纳西县健康计划（GHP）下安全网医疗服务的成本和充足性。该分析将GHP下的服务成本与当地私人保险公司和医疗补助计划提供的相同服务成本进行了比较。一项分析发现，GHP、弗林特地区的医生、医院和基金会成功地为绝大多数低收入未参保公民提供了基本医疗服务。由GHP支付以及当地医疗机构捐赠的医疗成本，大大低于如果这些人群由全额医疗补助计划或私人保险覆盖时的估计成本。
