Medicaid Coverage ‘Cliff’ Increases Expenses And Decreases Care For Near-Poor Medicare Beneficiaries
| العنوان: | Medicaid Coverage ‘Cliff’ Increases Expenses And Decreases Care For Near-Poor Medicare Beneficiaries |
|---|---|
| المؤلفون: | Julie M. Donohue, Walid F. Gellad, Eric T. Roberts, J. Michael McWilliams, Lindsay M. Sabik, Alexandra Glynn, Noelle Cornelio |
| المصدر: | Health Affairs. 40:552-561 |
| بيانات النشر: | Health Affairs (Project Hope), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Medigap, Prescription drug, Poverty, business.industry, Health Policy, Health care, Cost sharing, Subsidy, Business, Medical prescription, Medicaid, health care economics and organizations, Demography |
| الوصف: | Cost sharing in traditional Medicare can consume a substantial portion of the income of beneficiaries who do not have supplemental insurance from Medicaid, an employer, or a Medigap plan. Near-poor Medicare beneficiaries (with incomes more than 100 percent but less than 200 percent of the federal poverty level) are ineligible for Medicaid but frequently lack alternative supplemental coverage, resulting in a supplemental coverage "cliff" of 25.8 percentage points just above the eligibility threshold for Medicaid (100 percent of poverty). We estimated that beneficiaries affected by this supplemental coverage cliff incurred an additional $2,288 in out-of-pocket spending over the course of two years, used 55 percent fewer outpatient evaluation and management services per year, and filled fewer prescriptions. Lower prescription drug use was partly driven by low take-up of Part D subsidies, which Medicare beneficiaries automatically receive if they have Medicaid. Expanding eligibility for Medicaid supplemental coverage and increasing take-up of Part D subsidies would lessen cost-related barriers to health care among near-poor Medicare beneficiaries. |
| تدمد: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2020.02272 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::09b47e3bffe81b5aba8d498f0b166c19 https://doi.org/10.1377/hlthaff.2020.02272 |
| رقم الانضمام: | edsair.doi...........09b47e3bffe81b5aba8d498f0b166c19 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15445208 02782715 |
|---|---|
| DOI: | 10.1377/hlthaff.2020.02272 |