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首页> 外文期刊>Annals of the New York Academy of Sciences >Trends in Private Insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: Implications for Vulnerable Populations and Health Disparities
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Trends in Private Insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: Implications for Vulnerable Populations and Health Disparities

机译：私人保险，医疗补助/州儿童健康保险计划和医疗保健安全网的趋势：对弱势群体和健康差异的影响

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摘要

This chapter examines trends in private and public health coverage, as well as implications for vulnerable populations and health disparities. We find that there has been erosion in employment-based health benefits. Both the percentage of employers offering coverage and the percentage of workers with coverage declined in recent years. Those with coverage face eroding benefits and increased cost sharing. Within the public sector, Medicaid enrollment has decreased, with benefits increasingly restricted. Although State Children's Health Insurance Program (SCHIP) enrollment has increased among low-income children, the future of SCHIP remains uncertain. Meeting the healthcare needs of Americans and reducing health disparities requires both the provision of health coverage to all and sufficient comprehensiveness of benefits within private and public programs to meet enrollees' healthcare needs. Our findings suggest that we have a long way to go in reaching these goals.
机译：本章探讨了私人和公共卫生覆盖率的趋势，以及对脆弱人群和卫生差距的影响。我们发现，以就业为基础的健康福利受到侵蚀。近年来，提供​​保险的雇主比例和有保险的工人比例都下降了。那些覆盖面广的人面临着侵蚀的利益和增加的成本分担。在公共部门内，医疗补助人数减少了，福利也越来越受到限制。尽管低收入儿童的州儿童健康保险计划（SCHIP）入学人数有所增加，但是SCHIP的未来仍然不确定。为了满足美国人的医疗保健需求并减少健康差异，既需要为所有人提供医疗保险，也需要在私人和公共计划中充分全面地满足福利，以满足注册人的医疗保健需求。我们的发现表明，要实现这些目标，我们还有很长的路要走。

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