在2017-2019年医疗保险死者中预先计费的护理计划的时间和设置
Hiroshi Gotanda1, Anne M Walling2,3, Jessica J Zhang4
1Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Journal of the American Geriatrics Society
|June 19, 2023
概括
医疗保险退款预先护理计划 (ACP) 讨论增加,更多的讨论发生在早期和门诊环境中. 这种转变表明,在政策变化之后,越来越多地采用了非洲和非洲国家和地区的计费代码.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 在2016年引入了提前护理计划 (ACP) 讨论的报销.
- 了解这些新发票代码的使用模式对于评估其影响至关重要.
研究的目的:
- 分析2017年至2019年期间去世的医疗保险受益人中首次发行ACP讨论的时间和环境.
- 为未来的研究提供信息,以了解非洲和非洲国家发票代码的有效性和实施.
主要方法:
- 分析了2017-2019年死亡的66岁及以上的医疗保险服务费受益者中20%的随机样本.
- 记录了第一次使用非洲和非洲国家发票代码的时间 (与死亡相关) 和环境 (住院,养老院,办公室,带有/没有AWV的门诊患者,家庭/社区).
主要成果:
- 已故者中至少有一次已收费的非洲和非洲国家讨论的比例从2017年的9.7%上升到2019年的21.9%.
- 首次发起的非洲和非洲国家的讨论越来越多地发生在早些时候 (死亡前12个月以上),在生命的最后一个月中更少发生.
- 在医疗保险年度健康访问 (AWV) 期间,在办公室/门诊环境中,ACP讨论的数量有所增加,而在住院环境中则有所减少.
结论:
- 越来越多地接触到CMS政策,导致越来越多地采用了非洲和非洲国家发票代码.
- 首次发行ACP讨论发生在生命期结束之前,并且更频繁地与AWV相关联.
- 未来的研究应该专注于除了仅仅使用计费代码之外,对非洲和非洲国家和地区实践模式的变化.
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