Medicare, Medicaid, and dual enrollment for adults with intellectual and developmental disabilities.
Medicare, Medicaid, and dual enrollment for adults with intellectual and developmental disabilities.
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为患有智力和发育障碍的成年人提供医疗保险、医疗补助和双重参保。
DOI：
10.1111/1475-6773.14287
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发表时间：
2024
影响因子：
3.4
通讯作者：
Skotko,Brian
中科院分区：
文献类型：
--
作者：
Rubenstein,Eric;Tewolde,Salina;Levine,AAlex;Droscha,Lillian;Meyer,RachelMidori;Michals,Amy;Skotko,Brian
鉴于残疾人的高失业率和低就业率，有智力和发育障碍的成年人依赖医疗补助和/或医疗保险来支付医疗费用。许多残疾成年人在65岁之前符合联邦医疗保险的条件，但人们几乎不知道为什么一些人得到了医疗保险服务，而另一些人没有。我们描述了2019年有智力和发育障碍的成年人参加联邦医疗保险的持续时间，然后按登记类型(仅限联邦医疗保险、仅限医疗补助、双重登记)比较了人口统计数据。此外，我们按州检查了每种投保类型中的百分比，以及唐氏综合症患者在投保类型上的差异。数据来源和研究设置2019年美国所有成年人(≥18 Year)的医疗保险和医疗补助索赔数据，2011年至2019年任何时候都有智力残疾、唐氏综合症或自闭症的索赔代码。研究设计管理索赔队列。数据收集和提取方法数据来自转换后的医疗补助统计信息系统分析文件和联邦医疗保险受益人摘要文件。原理发现2019年，联邦医疗保险参保了582,868名确诊为智力残疾、自闭症或唐氏综合症的成年人。在582,868名联邦医疗保险受益人中，149,172人只参加医疗保险，433,396人同时参加。大多数联邦医疗保险参保人是作为儿童受抚养人参加的(61.5%)，仅接受医疗补助的参保人(N= 819,256)不太可能是非西班牙裔白人(58.5%非西班牙裔白人对72.9%的非西班牙裔白人在双重登记中)，更有可能是西班牙裔(19.6%西班牙裔对9.2%西班牙裔双重登记)，并且更年轻(平均34.2年 年对50.5 年双重登记)。需要采取行动，确保所有人都参加了符合他们医疗需求的计划。
ObjectiveGiven high rates of un‐ and underemployment among disabled people, adults with intellectual and developmental disabilities rely on Medicaid, Medicare, or both to pay for healthcare. Many disabled adults are Medicare eligible before the age of 65 but little is known as to why some receive Medicare services while others do not. We described the duration of Medicare enrollment for adults with intellectual and developmental disabilities in 2019 and then compared demographics by enrollment type (Medicare‐only, Medicaid‐only, dual‐enrolled). Additionally, we examined the percent in each enrollment type by state, and differences in enrollment type for those with Down syndrome.Data Sources and Study Setting2019 Medicare and Medicaid claims data for all adults (≥18 years) in the US with claim codes for intellectual disability, Down syndrome, or autism at any time between 2011 and 2019.Study DesignAdministrative claims cohort.Data Collection and Abstraction MethodsData were from the Transformed Medicaid Statistical Information System Analytic Files and Medicare Beneficiary Summary files.Principle FindingsIn 2019, Medicare insured 582,868 adults with identified intellectual disability, autism, or Down syndrome. Of 582,868 Medicare beneficiaries, 149,172 were Medicare only and 433,396 were dual‐enrolled. Most Medicare enrollees were enrolled as child dependents (61.5%) Medicaid‐only enrollees (N= 819,256) were less likely to be white non‐Hispanic (58.5% white non‐Hispanic vs. 72.9% white non‐Hispanic in dual‐enrolled), more likely to be Hispanic (19.6% Hispanic vs. 9.2% Hispanic in dual‐enrolled) and were younger (mean 34.2 years vs. 50.5 years dual‐enrolled).ConclusionThere is heterogeneity in public insurance enrollment which is associated with state and disability type. Action is needed to ensure all are insured in the program that works for their healthcare needs.
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与使用体表面积给狗施用马法兰有关的意外毒性。
影响因子：
11.2
作者：
Page,RL;Macy,DW;Thrall,DE;Dewhirst,MW;Allen,SL;Heidner,GL;Sim,DA;McGee,ML;Gillette,EL
通讯作者：
Gillette,EL
恶性黑色素瘤患者局部肢体灌注的前瞻性随机研究
影响因子：
9
作者：
F. Ghussen;K. Nagel;W. Groth;J. Müller;H. Stützer
通讯作者：
H. Stützer
全身性高温对小鼠Melphalan药代动力学的影响。
影响因子：
8.8
作者：
Honess, D J;Donaldson, J;Workman, P;Bleehen, N M
通讯作者：
Bleehen, N M
患有口腔黑色素瘤的狗的预后标准。
DOI：
--
发表时间：
1981
期刊：
Journal of the American Veterinary Medical Association
影响因子：
--
作者：
Harvey Hj;MacEwen Eg;D. Braun;A. Patnaik;S. J. Withrow;S. Jongeward
通讯作者：
S. Jongeward
小鼠全身热疗对马法兰的增强作用：小鼠肺微肿瘤的治疗效果。
DOI：
10.3109/02656738509029274
发表时间：
1985
期刊：
International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group
影响因子：
--
作者：
D. Honess;N. Bleehen
通讯作者：
N. Bleehen