Cost Sharing in Medicaid: Assumptions, Evidence, and Future Directions.

摘要: Several states have received waivers to expand Medicaid poor adults under the Affordable Care Act using more cost sharing than program traditionally allows. We synthesize literature on effects of sharing, focusing studies low-income U.S. populations from 1995 2014. Literature suggests that has a deterrent effect initiation treatments, and can reduce utilization ongoing treatments. Furthermore, may be difficult for understand, patients often lack sufficient information choose medical treatment, balance within budgets adults. Gaps in include evidence long-term health financial well-being, related effectiveness combined with patient education, targeted programs use incentives wellness. underscores need evaluation status spending, particularly among poorest