有医疗需求途径的州：低收入 Medicare 受益人的长期和临时 Medicaid 参保差异。
States With Medically Needy Pathways: Differences in Long-Term and Temporary Medicaid Entry for Low-Income Medicare Beneficiaries.
机构信息
Vanderbilt University, Nashville, TN, USA.
Brown University, Providence, RI, USA.
出版信息
Med Care Res Rev. 2019 Dec;76(6):711-735. doi: 10.1177/1077558717737152. Epub 2017 Oct 26.
Medically needy pathways may provide temporary catastrophic coverage for low-income Medicare beneficiaries who do not otherwise qualify for full Medicaid benefits. Between January 2009 and June 2010, states with medically needy pathways had a higher percentage of low-income beneficiaries join Medicaid than states without such programs (7.5% vs. 4.1%, < .01). However, among new full Medicaid participants, living in a state with a medically needy pathway was associated with a 3.8 percentage point (adjusted 95% confidence interval [1.8, 5.8]) increase in the probability of switching to partial Medicaid and a 4.5 percentage point (adjusted 95% confidence interval [2.9, 6.2]) increase in the probability of exiting Medicaid within 12 months. The predicted risk of leaving Medicaid was greatest when new Medicaid participants used only hospital services, rather than nursing home services, in their first month of Medicaid benefits. Alternative strategies for protecting low-income Medicare beneficiaries' access to care could provide more stable coverage.
有医疗需求途径的州，为那些没有资格获得全额医疗补助福利的低收入医疗保险受益人提供了临时的灾难性保险。在 2009 年 1 月至 2010 年 6 月期间，有医疗需求途径的州中，加入医疗补助计划的低收入受益人比例高于没有此类计划的州（7.5%比 4.1%，<.01）。然而，在新的全额医疗补助计划参与者中，生活在有医疗需求途径的州的人，切换到部分医疗补助的概率增加了 3.8 个百分点（调整后的 95%置信区间[1.8，5.8]），在 12 个月内退出医疗补助的概率增加了 4.5 个百分点（调整后的 95%置信区间[2.9，6.2]）。当新的医疗补助计划参与者在获得医疗补助的第一个月仅使用医院服务，而不是疗养院服务时，离开医疗补助的预测风险最大。保护低收入医疗保险受益人的医疗服务获取权的替代策略可以提供更稳定的保障。
Zotero 插件