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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2424 |
来源ID | RR-2424-NYSHF |
An Assessment of the New York Health Act: A Single-Payer Option for New York State | |
Jodi L. Liu; Chapin White; Sarah A. Nowak; Asa Wilks; Jamie Ryan; Christine Eibner | |
发表日期 | 2018-08-01 |
出版年 | 2018 |
页码 | 125 |
语种 | 英语 |
结论 | The authors estimate that total health care spending under the New York Health Act (NYHA) could be slightly lower than spending under the status quo.
The NYHA would require large shifts in the types of payments people make for health care.
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摘要 | The New York State legislature is considering single-payer legislation — the New York Health Act (NYHA) — that would transform the landscape of health insurance coverage and financing in the state. The NYHA would create a state-sponsored single-payer health program called New York Health that would provide coverage to all residents of New York State. Health benefits under the plan would be comprehensive, including all benefits covered by Medicare, Medicaid, Child Health Plus, and those mandated under the Affordable Care Act; the exception is long-term care benefits that would not be covered under the NYHA initially but could be added later. Patients would have no deductibles, copayments, or other out-of-pocket payments at the point of service for covered benefits. ,To understand the near-term and longer-term impact of the single-payer proposal, the report's authors assessed how the plan would affect health care utilization and costs in the state. They used a microsimulation modeling approach to estimate the plan's effects on key outcomes and compare them with outcomes under the status quo for three future years: 2022, 2026, and 2031. Based on this analysis, the authors estimate that the NYHA could expand coverage without substantial increases in overall health care spending: in the short term, health care spending would be relatively similar if administrative costs are reduced and would grow more slowly over the longer term than under the status quo if provider payment rates are restrained. However, the NYHA would require new taxes and shift financing among households and businesses. |
目录 |
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主题 | Health Care Payment Approaches ; Health Care Reform ; Health Insurance ; New York |
URL | https://www.rand.org/pubs/research_reports/RR2424.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523594 |
推荐引用方式 GB/T 7714 | Jodi L. Liu,Chapin White,Sarah A. Nowak,et al. An Assessment of the New York Health Act: A Single-Payer Option for New York State. 2018. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2424.pdf(2287KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1554922302536.jpg.p(1KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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