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首页> 外文期刊>Disability and health journal >The Kansas Medicaid Buy-In: Factors influencing enrollment and health care utilization
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The Kansas Medicaid Buy-In: Factors influencing enrollment and health care utilization

机译：堪萨斯州医疗补助买入：影响入学率和医疗保健利用的因素

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Background: Medicaid Buy-Ins are optional programs states may implement to create work incentives for people with disabilities. These programs allow participants to increase earnings without losing Medicaid eligibility-potentially moving them out of poverty without risking loss of health care coverage. They also provide the opportunity for beneficiaries to offset some of their medical costs to the federal and state governments through premiums for coverage and increased taxes paid. State and federal policy makers and administrators have speculated about who might enroll, how they might use the benefits, and whether positive health outcomes for persons with disabilities would result. Objective: We compared characteristics and health care utilization of 184 enrollees and 158 eligible nonenrollees in Kansas' Medicaid Buy-In. Results: Enrollees were older and significantly more likely to have more than one disability, with mental illness being more prevalent than physical disabilities, and to have both higher Social Security and earned income. A majority of the sample was dually eligible for Medicare and Medicaid with Medicaid paying most costs. Home health service costs were the primary difference between enrollee and nonenrollee expenditures. Conclusions: Increased Medicaid Buy-In enrollment could prevent long-term dependence on federal disability benefits.
机译：背景：医疗补助买入是州可能实施的可选计划，以创建针对残疾人的工作激励措施。这些计划使参与者能够增加收入而不会失去医疗补助资格，这有可能使他们摆脱贫困，而不会冒失去医疗保险的风险。它们还为受益人提供了机会，可通过承保保费和增加的税金向联邦政府和州政府抵消部分医疗费用。州和联邦的政策制定者和管理者推测了谁可以参加，他们如何使用福利以及是否会为残疾人带来积极的健康成果。目的：我们比较了堪萨斯州医疗补助买进中184名登记者和158名合格非登记者的特征和医疗保健利用率。结果：入学者年龄较大，并且有不止一种残疾的可能性，其中精神疾病比肢体残疾更为普遍，并且社会保障和收入均较高。大部分样本同时符合Medicare和Medicaid的资格，而Medicaid承担的费用最多。家庭健康服务成本是注册人和非注册人支出之间的主要差异。结论：增加的医疗补助参保人数可以防止长期依赖联邦残疾补助金。

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