Saucier Paul, Bezanson Lee, Booth Maureen, Bratesman Stuart, Fralich Julie T, Gilden Daniel, Goldstein Elaina K, O'Connor Darlene, Perrone Christopher V, Willrich Katharine K
Health Care Financ Rev. 1998 Winter;20(2):91-108.
Analysis of linked Medicare/Medicaid data files from four New England States (Connecticut, Maine, Massachusetts, and New Hampshire) confirm that dually eligible beneficiaries used a disproportionate amount of both Medicare and Medicaid resources in 1995, driven largely by the significant subset of the population that used institutional long-term care (LTC). If States and the Federal Government are successful in developing approaches to dually eligible beneficiaries that reduce the use of institutional LTC, overall public costs per person could decline while Federal costs remained constant, and beneficiaries could have a greater selection of community-based options and experience greater satisfaction.
对来自新英格兰四个州(康涅狄格州、缅因州、马萨诸塞州和新罕布什尔州)的医疗保险/医疗补助关联数据文件进行分析后证实,在1995年,双重资格受益人群使用了不成比例的医疗保险和医疗补助资源,这在很大程度上是由使用机构长期护理(LTC)的大量人群所推动的。如果各州和联邦政府能够成功制定针对双重资格受益人的方法,减少机构长期护理的使用,那么在联邦成本保持不变的情况下,人均公共成本可能会下降,受益人可以有更多基于社区的选择,并获得更高的满意度。