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首页> 外文期刊>Journal of health economics >Family coverage expansions: Impact on insurance coverage and health care utilization of parents
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Family coverage expansions: Impact on insurance coverage and health care utilization of parents

机译：家庭覆盖范围的扩大：对父母的保险覆盖范围和医疗保健利用的影响

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With the passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Medicaid eligibility ceased to be tied to receipt of cash assistance. Since then, states have had a growing number of opportunities to expand health coverage to low-income working families beyond previous AFDC limits. As of 2001, 20 states have raised income eligibility limits for parents to or beyond 100% of the Federal Poverty Level. First, we use the Current Population Survey to study the effect of states' expansions on the insurance rates of adults and to estimate the crowd-out of private insurance. We find that eligible adults living in a state that expanded coverage are more likely to be insured. We find a take-up rate of 14.8%. Our results suggest that 24% of this increase is due to a reduction in private coverage. Next, we use the Behavioral Risk Factor Surveillance System to examine changes in health care utilization. We find that these expansions increased cancer-screening rates. Of previously uninsured mothers not receiving cancer screening, 29% now receive these screens. Finally, our results indicate the expansions decreased the likelihood that a parent needed to see a doctor but did not because of cost.
机译：随着1996年《个人责任与工作机会和解法》（PRWORA）的通过，医疗补助资格不再与接受现金援助挂钩。自那时以来，各州获得了越来越多的机会，将医疗保险的覆盖范围扩大到了AFDC以前的限制以外的低收入工作家庭。截至2001年，有20个州将父母的收入资格限制提高到或超过联邦贫困线的100％。首先，我们使用“当前人口调查”来研究州的扩张对成人保险费率的影响，并估计私人保险的排挤。我们发现，生活在覆盖范围扩大的州的合格成年人更有可能获得保险。我们发现吸收率为14.8％。我们的结果表明，这种增长的24％是由于私人保险的减少。接下来，我们使用行为风险因素监视系统检查医疗保健利用率的变化。我们发现这些扩展增加了癌症筛查率。在以前没有保险的未接受癌症检查的母亲中，现在有29％接受了这些检查。最后，我们的结果表明，这种扩展减少了父母需要看医生但又不是因为费用而增加的可能性。

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