Medical Care Economic Risk Measuring Financial Vulnerability from Spending on Medical Care (2012) / Chapter Skim
Currently Skimming:
2 Context for the Workshop
2 Context for the Workshop
Pages 125-132
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 125... ...
provided the sponsor's perspective regarding the need for and the importance of a well-constructed index to help assess people's medical care economic risk. One of the things that moved him on the issue and ultimately led to the current project was a paper called Who Is at Risk?
|
From page 126... ...
, has undertaken. One can question why, with the implementation of health care reform, a medical care economic risk measure is still needed -- particularly because health care reform has the promise of expanded coverage, both public and private, increased subsidies for low-income and moderate-income households, the removal of preexisting conditions, the removal of annual and lifetime limits, and the availability of the bronze, silver, and gold benefit packages.
|
From page 127... ...
The economic poverty measure became the SPM which excludes medical care. The SPM thresholds for economic poverty therefore do not include any medical care needs, and the resources that are compared with that threshold to determine poverty status subtract medical out-of-pocket expenses from income to determine the measure of resources available for other basic necessities.
|
From page 128... ...
That letter discussed the issue of medical care, modifying somewhat what the NRC panel recommended. Specifically, the letter recommended not using the actual out-of-pocket medical expenses for those without insurance coverage, because their lack of insurance protection, combined with low income, might cause them to spend too little on needed medical care.
|
From page 129... ...
The resources used to compare these thresholds are gross money income plus the value of in-kind nonmedical benefits -- such as the Supplemental Nutrition Assistance Program; free or reduced-price school meals; the Special Supplemental Nutrition Program for Women, Infants, and Children; housing subsidies; and the Low Income Home Energy Assistance Program -- that families can use to meet their food, clothing, shelter, and utility needs minus income taxes, payroll taxes, and other nondiscretionary expenses. The expenses that are subtracted are taxes, medical out-ofpocket expenses, child support paid, and child care and other work-related expenses.
|
From page 130... ...
Statistical matching between the insured and the uninsured was used as a method to assign the medical out-of-pocket spending of the insured to the uninsured. And the key provisions of health care reform to be implemented in 2014 were considered, such as adult Medicaid expansion for those with family income up to 138 percent of the family poverty level, eligibility levels for the Children's Health Insurance Program to be maintained by the states, state health insurance exchanges, and insurance premium subsidies for up to 400 percent of the family poverty level.
|
From page 131... ...
She ended with the comment that a complementary measure is needed that shows they are better off in the domain of health care with health insurance coverage. The medical care risk measure might fill that need.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.