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Medicaid versus Private Coverage for Low-Income Families: What are the Tradeoffs between Cost-Sharing and Access to Care

低收入家庭的医疗补助与私人保险：费用分摊和获得医疗服务之间的权衡是什么

基本信息

批准号：
10133049
负责人：
Mireille Jacobson
金额：
$ 27.65万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-06-01 至 2023-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10133049
关键词：
Medicaid versus Private Coverage Low

项目摘要

Abstract Not all health insurance is created equal. Medicaid typically provides coverage with little or no patient cost-sharing, while many private non-group health insurance plans expose patients to high out-of-pocket spending. On the flip side, not all providers will accept Medicaid patients, so that access to providers may be better with private coverage. We propose to evaluate the pros and cons of Medicaid versus private coverage for low-income families using a regression discontinuity design that exploits the sharp cutoff in Medicaid eligibility in many states at 138% of the poverty level. Outcomes to be analyzed include out-of-pocket health care spending and access to care. We will also analyze the spillover effects of Medicaid versus private coverage on the use of other social welfare programs such as Food Stamps/SNAP and Supplemental Security Income (SSI). Data for the analyses will come from the Current Population Survey and the Medical Expenditure Panel Study. !

摘要并非所有的健康保险都是平等的。医疗补助通常提供很少或没有病人分担费用，而许多私人非团体健康保险计划使病人面临高额的自付支出另一方面，并非所有的提供者都接受医疗补助的病人，私人保险可能会更好地接触到提供者。我们建议评估以及医疗补助与私人保险对低收入家庭的利弊，不连续性设计，利用了许多州医疗补助资格的138% 贫困水平。要分析的结果包括自付医疗保健支出，获得护理。我们还将分析医疗补助与私人保险的溢出效应，使用其他社会福利计划，如食品券/SNAP和补充安全收入（SSI）。分析数据将来自当前人口调查，医疗支出小组研究。 !

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Effectiveness and cost-effectiveness of palliative care in natural experiments: a systematic review.

自然实验中姑息治疗的有效性和成本效益：系统评价。

DOI：
10.1136/spcare-2022-003993
发表时间：
2023
期刊：
BMJ supportive & palliative care
影响因子：
2.7
作者：
Jiang,Jingjing;Kim,Narae;Garrido,MelissaM;Jacobson,Mireille;Mockler,David;May,Peter
通讯作者：
May,Peter

Do age-based discontinuation recommendations influence cervical cancer screening rates? Evidence from the United States' Behavioral Risk Factor Surveillance System, 2016 and 2018.

基于年龄的停药建议会影响宫颈癌筛查率吗？