まとめ
2014年のメディケイドの拡大により,病院の非補償医療費が大幅に削減され,メディケイドの収入が増加しました. この政策の変更により,病院の財務状態が改善され,特に拡大国での利益率が上昇した.
科学分野:
- 健康政策
- 病院の財務管理
- 公的医療保険
背景:
- 安価な医療法により 低所得者層の成人にメディケイドの資格を 拡大することができました
- メディケイドの拡大に関する州の決定は 患者数と収入の流れを変えることで 病院の財政に影響を与えます
研究 の 目的:
- メディケイドの拡大と 病院の業績との関連を分析する
- メディケイドを拡大した州と 拡大しなかった州における 病院の財政的成果を比較するためです
主な方法:
- 非連邦の一般医療や外科病院のデータを分析した観察研究 (2011年−2014年).
- データソースには,アメリカン・ホスピタル・アソシエーションの年次調査とCMSヘルスケア・コスト・レポート情報システムが含まれています.
- 多変量差の回帰は,拡大状態と非拡大状態の病院を比較した.
主要な成果:
- メディケイドの拡大は,病院毎の非補償医療費の年間280万ドルの減少に関連していました.
- 拡大している州にある病院は 毎年320万ドルのメディケイド収入を上げています
- 拡大国では1.1パーセントの大幅な改善が見られた.
結論:
- メディケイドを拡大する州の病院は 補償されていない医療費が低く メディケイドの収入が増加しました
- メディケイドの拡大は 病院の財政的な健康,特に過剰な利益に ポジティブな影響を及ぼしました
- メディケイドの拡大が病院に与える長期的な経済的影響を評価するために,さらなる研究が推奨されています.
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