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研究问题:医疗保险和医疗补助双重资格受益人群体、挑战与机遇

Research Issues: Dually Eligible Medicare and Medicaid Beneficiaries, Challenges and Opportunities.

作者信息

Clark William D, Hulbert Melissa M

出版信息

Health Care Financ Rev. 1998 Winter;20(2):1-10.

Abstract

This overview describes the Medicare and Medicaid dually eligible beneficiaries, and it summarizes challenges in obtaining information and designing health care and supportive systems across the continuum of their needs. Some of the challenges include: the complexities of Medicaid eligibility, key structural differences between Medicare and Medicaid, long-standing data limitations, and determining appropriate payment mechanisms and amounts. The overview discusses and highlights changes that are expected to improve the potential for research on dual eligible issues.

摘要

本概述介绍了同时符合医疗保险和医疗补助条件的受益人群体,并总结了在获取信息以及根据他们的持续需求设计医疗保健和支持系统方面所面临的挑战。其中一些挑战包括:医疗补助资格的复杂性、医疗保险和医疗补助之间的关键结构差异、长期存在的数据限制,以及确定合适的支付机制和金额。本概述讨论并强调了有望改善对双重资格问题进行研究的可能性的各项变化。

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