20年来,医疗保险在心脏外科手术方面的补偿金下降
John A Treffalls1, Aakash M Shah1, Christopher M Worrell1
1Department of Cardiothoracic Surgery, University of Texas Health San Antonio, San Antonio, Texas.
The Annals of thoracic surgery
|July 9, 2023
概括
医疗保险对心脏手术的补偿从2000年到2022年大幅下降了34.1%,下降了34.1%. 这一趋势,特别是在2015年之后加速,影响了获得优质心脏手术护理的机会.
科学领域:
- 心血管外科心血管外科
- 卫生经济学 卫生经济学
- 医疗政策 医疗政策
背景情况:
- 医疗保健融资的不确定性需要了解心脏外科手术的报销趋势.
- 医疗保险退款对于获得心脏外科手术程序至关重要.
- 分析长期报销趋势对于心脏外科手术的战略规划至关重要.
研究的目的:
- 评估2000年至2022年期间常见心脏外科手术的医疗保险补偿趋势.
- 为了确定诸如主动脉置换,中枢修复/置换,三管置换,本塔尔手术和冠状动脉旁路移植等手术的具体趋势.
- 分析2015年之前和之后偿还率的变化.
主要方法:
- 从CMS医生费用表查找工具 (2000-2022) 中提取了Medicare报销数据.
- 根据消费者价格指数,为通货膨胀调整到2022美元的报销率.
- 计算了总百分比变化,复合年增长率,并进行了分时和回归分析.
主要成果:
- 经通货膨胀调整后的医疗保险退款总体下降了34.1%,复合年增长率为-1.8%.
- 在大多数手术中观察到显著的下降趋势,特别是冠状动脉旁路移植 (-44.4%) 和主动脉置换 (-40.1%).
- 从2016年到2022年,还款率大幅下降,与2000年至2015年的稳定时期形成鲜明对比.
结论:
- 对于大多数心脏外科手术的医疗保险补偿已经显著下降.
- 这些退款下降趋势凸显了为确保持续获得高质量的心脏手术护理而进行宣传的必要性.
- 胸部外科医生协会应该倡导支持心脏外科服务可持续补偿的政策.
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