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医疗补助工作要求实施后成年心血管疾病患者的医保覆盖范围、医疗服务可及性及健康状况变化

Changes in coverage, access, and health status among adults with cardiovascular disease after medicaid work requirements.

作者信息

Engel-Rebitzer Eden, Marinacci Lucas, Zheng ZhaoNian, Wadhera Rishi K

机构信息

Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA; Department of Internal Medicine, Brigham & Women's Hospital, Boston, MA.

Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA.

出版信息

Am Heart J. 2025 Jan;279:104-106. doi: 10.1016/j.ahj.2024.10.014. Epub 2024 Nov 18.

Abstract

Policymakers have intensified calls to expand work requirements in Medicaid across the United States, which could have implications for low-income adults who experience a high burden of cardiometabolic risk factors and disease. In this difference-in-differences analysis, we found that the implementation of Medicaid work requirements was associated with decreased health insurance coverage, no change in employment status, and a trend towards worse access to care. Our findings suggest that the expansion of work requirements could have major implications for the cardiovascular health of working-age adults in the US.

摘要

政策制定者加大了在美国各地扩大医疗补助计划工作要求的呼声,这可能会对面临心血管代谢风险因素和疾病高负担的低收入成年人产生影响。在这项双重差分分析中,我们发现医疗补助计划工作要求的实施与医疗保险覆盖范围的减少、就业状况无变化以及获得医疗服务的机会有变差的趋势相关。我们的研究结果表明,工作要求的扩大可能会对美国适龄工作成年人的心血管健康产生重大影响。

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