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Too Early to Cut Transportation Benefits From Medicaid Enrollees

机译：太早地削减了医疗补助参加者的运输收益

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Some state governments are considering cuts to the non-emergency medical transportation (NEMT) benefit for Medicaid enrollees, and some Federal officials have proposed making this easier. Yet, there is clear demand. In 2015 alone, low-income patients used 59?million rides for medical appointments. NEMT’s future is under threat because evidence that NEMT improves health care access and downstream outcomes is incomplete. Second, it remains largely unknown whether scarce public resources for transportation are being driven to those who benefit from its availability. This knowledge gap is answerable but unknown because of variations in how states administer NEMT. As a result, tracking who uses the services is inconsistent, and states are unable to link NEMT data with health care outcomes. Instead of cutting NEMT benefits, we believe an alternative path involves improved tracking and evaluations of the benefit first. Better informed policy decisions are needed. Otherwise, if policymakers implement blanket reductions in NEMT spending, they run the risk of causing more harm than good.
机译：一些州政府正在考虑削减医疗补助参与者的非紧急医疗运输（NEMT）福利，而一些联邦官员则建议简化这项工作。但是，有明确的需求。仅在2015年，低收入患者就坐了5900万人次的医疗服务。 NEMT的未来受到威胁，因为有证据表明NEMT可以改善医疗服务的可及性和下游成果。第二，人们仍然不知道稀缺的公共交通资源是否被驱使用于那些从其可获得性中受益的人。这种知识鸿沟是可以回答的，但由于各州对NEMT的管理方式各不相同，因此尚不清楚。结果，跟踪谁使用该服务是不一致的，并且各州无法将NEMT数据与医疗结果联系起来。我们认为，替代削减NEMT的收益不是替代方法，而是首先要改善收益的跟踪和评估。需要更明智的政策决策。否则，如果政策制定者实施NEMT支出的全面削减，他们就有造成弊大于利的风险。

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