Continuous Medicaid coverage during the COVID-19 public health emergency reduced churning, but did not eliminate it.
Continuous Medicaid coverage during the COVID-19 public health emergency reduced churning, but did not eliminate it.
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在 COVID-19 公共卫生紧急事件期间，持续的医疗补助覆盖减少了客户流失，但并没有消除它。
DOI：
10.1093/haschl/qxad055
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Yu,Hao
中科院分区：
文献类型：
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作者：
Nelson,DanielB;Goldman,AnnaL;Zhang,Fang;Yu,Hao
2020年初，在疫情相关的失业之后，保持保险覆盖率是一项优先事项。为此，《家庭第一冠状病毒应对法案》在医疗补助中实施了连续覆盖政策，以海岸获得医疗保险。在大流行之前，医疗补助注册者经历了频繁的覆盖中断，称为“搅动”。持续覆盖政策对COVID-19突发公共卫生事件（PHE）期间的流失影响尚不清楚。我们使用纵向全国调查数据对非老年医疗补助计划参与者进行了差异分析，以比较2019-2020年暴露于该政策的队列与2018-2019年的对照队列。我们发现，该政策导致成年人向无保险的过渡减少，尽管儿童并非如此。该政策每月防止30多万人过渡到无保险状态。然而，尽管有持续的覆盖政策，但从医疗补助计划中退出的比例仍然很低。随着PHE的展开，政策制定者应该考虑长期持续的覆盖政策，以尽量减少医疗补助的波动。
Preserving insurance coverage in the wake of pandemic-related job loss was a priority in early 2020. To this end, the Families First Coronavirus Response Act implemented a continuous coverage policy in Medicaid to shore up access to health insurance. Prior to the pandemic, Medicaid enrollees experienced frequent coverage disruptions, known as “churning.” The effect of the continuous coverage policy on churning during the COVID-19 public health emergency (PHE) is unknown. We performed a difference-in-differences analysis of nonelderly Medicaid enrollees using longitudinal national survey data to compare a 2019–2020 cohort exposed to the policy with a control cohort in 2018–2019. We found that the policy led to reduced transitions to uninsurance among adults, although not among children. The policy prevented over 300 000 transitions to uninsurance each month. However, disenrollment from Medicaid persisted at a low rate, despite the continuous coverage policy. As the PHE unwinds, policymakers should consider long-term continuous coverage policies to minimize churning in Medicaid.