Medicaid: What Does It Do, and Can We Do It Better?
Medicaid: What Does It Do, and Can We Do It Better?
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DOI：
10.1177/0002716219874772
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发表时间：
2019-11-01
影响因子：
2.8
通讯作者：
Duque, Valentina
中科院分区：
文献类型：
--
作者：
Currie, Janet;Duque, Valentina
本文概述了医疗补助计划，并总结了其在提供保险和促进健康方面的有效性的证据。有证据表明，自1965年创立以来，医疗补助计划改善了低收入人群的生活。医疗补助计划的扩大扩大了医疗保健的覆盖面和可及性，减少了医疗债务，改善了健康状况，几乎没有证据表明受益人的劳动力供应显著减少。然而，人们对该计划的高成本和不断增加的成本、所提供的医疗质量以及难以获得医疗补助资助的医疗服务感到担忧。根据之前的证据，我们讨论了一些旨在解决这些问题的医疗补助改革提案。
This article provides an overview of the Medicaid program and summarizes the evidence about its effectiveness in terms of providing insurance and promoting health. The evidence shows that Medicaid has improved the lives of low-income people since its creation in 1965. Expansions in Medicaid have led to increases in coverage and access to medical care, reductions in medical debt, and improvements in health outcomes with little evidence of significant reductions in beneficiaries' labor supply. Yet there are concerns around the program's high and increasing costs, the quality of care provided, and difficulty accessing Medicaid-funded care. We discuss some of the proposed Medicaid reforms meant to address these problems in light of previous evidence.