Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs.
Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs.
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医疗补助自动招生对有特殊医疗保健需求的儿童保险范围差异和护理人员负担的影响。
DOI：
10.1177/10775587221106116
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发表时间：
2023-02
影响因子：
2.5
通讯作者：
Dick, Andrew
中科院分区：
文献类型：
--
作者：
Rennane, Stephanie;Dick, Andrew
我们分析了医疗补助自动登记政策的儿童与特殊医疗保健需求（CSHCN）谁参加了补充保障收入（SSI）减少医疗保险覆盖面和负担的差距。使用2009 - 2010年全国儿童有特殊医疗保健需求的调查，我们实施了一个差异中的差异回归模型，比较CSHCN接受SSI和CSHCN不接受SSI之间的保险登记率，在有和没有自动登记政策的州。我们发现，医疗补助自动登记对参加SSI的低收入CSHCN的保险登记产生了有意义的影响，并且可以成为减轻保险覆盖范围差异的有效方法（将不保险减少38%）。医疗补助自动登记也减少了CSHCN的社会经济弱势家庭的照顾者负担。这些政策的影响是那些可能处于资格边缘或面临沉重行政负担的最大家庭。
We analyze how Medicaid automatic enrollment policies for children with special health care needs (CSHCN) who are enrolled in Supplemental Security Income (SSI) reduce disparities in health insurance coverage and caregiving burden. Using the 2009–2010 National Survey of Children with Special Health Care Needs, we implement a difference-in-differences regression model comparing insurance enrollment rates between CSHCN receiving SSI and CSHCN not receiving SSI, in states with and without automatic enrollment policies. We find that Medicaid automatic enrollment has a meaningful impact on insurance enrollment for low-income CSHCN who participate in SSI and can be an effective method for mitigating disparities in insurance coverage (reducing uninsurance by 38%). Medicaid automatic enrollment also reduces caregiver burden among socioeconomically disadvantaged families with CSHCN. The effects of these policies are largest families who might be on the margin of eligibility or who face high administrative burden.
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影响因子：
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作者：
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