Merrell K, Colby D C, Hogan C
Health Aff (Millwood). 1997 Jan-Feb;16(1):175-84. doi: 10.1377/hlthaff.16.1.175.
About 13 percent of Medicare beneficiaries receive some assistance from Medicaid. States "buy in" Medicare coverage for these low-income beneficiaries. For those eligible, states also provide benefits beyond those covered by Medicare. Buy-in beneficiaries are different from other Medicare beneficiaries in many ways. They have lower incomes, which is consistent with the policy intent. They use more health services in general but do not appear to receive timely, appropriate care relative to several disease-specific standards. As policymakers consider restructuring Medicare and Medicaid, careful attention needs to be paid to the effects of changes on these beneficiaries.
约13%的医疗保险受益人从医疗补助计划中获得了一些援助。各州为这些低收入受益人“买入”医疗保险覆盖范围。对于符合条件的人，各州还提供医疗保险所涵盖范围之外的福利。“买入”受益人在许多方面与其他医疗保险受益人不同。他们收入较低，这与政策意图相符。总体而言，他们使用更多的医疗服务，但相对于一些特定疾病标准，他们似乎没有得到及时、适当的护理。由于政策制定者正在考虑重组医疗保险和医疗补助计划，因此需要密切关注这些变化对这些受益人的影响。
