Kalainov David M, Yamaguchi Ken
From the Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Medical Director of Orthopedic Surgery, Northwestern Memorial Hospital, Chicago, IL.
J Am Acad Orthop Surg. 2025 Feb 1;33(3):117-126. doi: 10.5435/JAAOS-D-23-00735. Epub 2024 Oct 8.
Medicaid and the Children's Health Insurance Program together represent the largest healthcare coverage programs in the United States, providing benefits for approximately one in four residents and more than half of all children. Both programs are funded by a combination of federal and state dollars with more than 70% of beneficiaries enrolled in managed care plans. The size and scope of these programs underpin the importance of a working knowledge to understand healthcare delivery in the United States. This primer provides an overview of several interrelated topics for an improved understanding of the Medicaid and Children's Health Insurance Program programs for orthopaedic surgeons, other clinicians, healthcare administrators, policy makers, and business leaders.
医疗补助计划和儿童健康保险计划共同构成了美国最大的医疗覆盖项目,为约四分之一的居民以及超过半数的儿童提供福利。这两个项目均由联邦和州资金共同资助,超过70%的受益人参加了管理式医疗计划。这些项目的规模和范围凸显了掌握实用知识对于理解美国医疗服务提供体系的重要性。本入门指南概述了几个相互关联的主题,以帮助骨科医生、其他临床医生、医疗管理人员、政策制定者和企业领导者更好地了解医疗补助计划和儿童健康保险计划。