Holahan J, Rowland D, Feder J, Heslam D
Health Policy Center, Urban Institute.
Health Aff (Millwood). 1993 Fall;12(3):177-93. doi: 10.1377/hlthaff.12.3.177.
Medicaid spending more than doubled from 1988 to 1992, reversing a long trend of cost containment in the program. Reasons for the cost explosion are severalfold. (1) Congress expanded eligibility to more children, pregnant women, and low-income elderly persons. (2) The recession has added more people to the Medicaid rolls. (3) Growing numbers of disabled cash assistance recipients have increased Medicaid enrollment. (4) States have increased their use of federal Medicaid funds to supplement previously state-funded programs and have become more skillful in leveraging federal funds to defray the cost of their Medicaid programs. This DataWatch explores the relative impact of enrollment changes, inflation, and increased reimbursement on the increase in Medicaid spending.
1988年至1992年期间，医疗补助计划的支出增加了一倍多，扭转了该计划长期以来控制成本的趋势。成本激增的原因是多方面的。（1）国会扩大了资格范围，涵盖更多儿童、孕妇和低收入老年人。（2）经济衰退使医疗补助计划的参保人数增加。（3）领取现金援助的残疾人数不断增加，也使医疗补助计划的参保人数上升。（4）各州增加了对联邦医疗补助资金的使用，以补充此前由州政府资助的项目，并且在利用联邦资金支付其医疗补助计划成本方面变得更加熟练。本《数据观察》探讨了参保人数变化、通货膨胀和报销增加对医疗补助计划支出增长的相对影响。
