Paul D. Jacobs, an economist, is employed by the federal government but publishing in his capacity as a private citizen.
Genevieve M. Kenney (
Health Aff (Millwood). 2017 Sep 1;36(9):1637-1642. doi: 10.1377/hlthaff.2017.0252.
Understanding the health care spending and utilization of various types of Medicaid enrollees is important for assessing the budgetary implications of both expansion and contraction in Medicaid enrollment. Despite the intense debate surrounding the Affordable Care Act (ACA), however, little information is available on the spending and utilization patterns of the nonelderly adult enrollees who became newly eligible for Medicaid under the ACA. Using data for 2012-14 from the Medical Expenditure Panel Survey, we compared health care spending and utilization of newly eligible Medicaid enrollees with those of nondisabled adults who were previously eligible and enrolled. We found that average monthly expenditures for newly eligible enrollees were $180-21 percent less than the $228 average for previously eligible enrollees. Utilization differences between these groups likely contributed to this differential.
了解各类医疗补助参保者的医疗支出和使用情况对于评估医疗补助参保人数的增减对预算的影响非常重要。然而，尽管围绕平价医疗法案（ACA）存在激烈的争论，但关于符合 ACA 条件的新加入医疗补助的非老年成年参保者的支出和使用模式，信息却很少。利用 2012-14 年来自医疗支出调查面板的数据，我们比较了新符合条件的医疗补助参保者与之前符合条件并参保的无残疾成年人的医疗支出和使用情况。我们发现，新符合条件的参保者的月平均支出比之前符合条件的参保者的 228 美元平均水平低 180-21%。这些群体之间的利用差异可能导致了这种差异。
