Current rules limit premiums and cost sharing in Medicaid to facilitate access to coverage and care for the low-income population served by the program, who have limited resources to spend on out-of-pocket costs. Recently, there has been increased interest at the federal and state level to expand the use of premiums and cost sharing in Medicaid. Studies also show that raising premiums and cost sharing in Medicaid and CHIP increases pressures on safety net providers, such as community health centers and hospitals. Research shows that potential revenue gains from premiums and cost sharing are offset by increased disenrollment increased use of more expensive services, such as emergency room care increased costs in other areas, such as resources for uninsured individuals and administrative expenses. State savings from premiums and cost sharing in Medicaid and CHIP are limited.Additionally, research finds that cost sharing increases financial burdens for families, causing some to cut back on necessities or borrow money to pay for care. For example, studies find that increases in cost sharing are associated with increased rates of uncontrolled hypertension and hypercholesterolemia and reduced treatment for children with asthma. Research also finds that cost sharing can result in unintended consequences, such as increased use of the emergency room, and that cost sharing negatively affects access to care and health outcomes. Even relatively small levels of cost sharing in the range of $1 to $5 are associated with reduced use of care, including necessary services.Individuals who become uninsured face increased barriers to accessing care, greater unmet health needs, and increased financial burdens. ![]() Some individuals losing Medicaid or CHIP coverage move to other coverage, but others become uninsured, especially those with lower incomes. These effects are largest among those with the lowest incomes, particularly among individuals with incomes below poverty.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |