跨越138:《平价医疗法案》(Affordable Care Act)下的两种混乱方式。

Gabriel Ravel, J Angelo DeSantis
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引用次数: 0

摘要

根据《平价医疗法案》(Affordable Care Act),医疗补助计划(Medicaid)的扩张和以州为基础的医保交易预计会产生的一个副作用是员工流失。流失是指由于收入变化而进入或退出保险可负担性计划的资格。因为医疗补助和交易资格之间的界限很好——联邦贫困水平的138%——预计数百万美国人将获得或失去资格。通常,这种混乱破坏了护理的连续性,增加了成本,并使受影响的人感到沮丧。这篇文章探讨了两个拟议的计划,以减轻流失的影响:基本健康计划和桥梁计划。本文评估了这两个项目减轻员工流失影响的能力,对各州实施这些项目可能产生的副作用,以及实施这些项目的法律和实际障碍。它的结论是,桥梁计划是更好的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Crossing 138: two approaches to churn under the Affordable Care Act.

A predicted side effect of the Medicaid expansion and state-based Exchanges under the Affordable Care Act is churn. Churn is the shifting into and out of eligibility for insurance affordability programs due to income changes. Because the line between Medicaid and Exchange eligibility is fine -138% of the federal poverty level -millions of Americans are expected to gain and lose eligibility. Frequently, this churning undermines continuity of care, raises costs, and frustrates those affected. This article explores two proposed programs to mitigate the effects of churn: the Basic Health Program and the Bridge Program. This article evaluates both programs' ability to mitigate the effects of churn, the likely side effects to states' implementing them, and legal and practical obstacles to their implementation. It concludes that the Bridge Program is the better approach.

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