在私募股权收购视网膜实践后,医疗保险支出和使用增加
Yashaswini Singh1, Christopher M Aderman2, Zirui Song3
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.
Ophthalmology
|August 9, 2023
概括
对视网膜实践的私募股权收购增加了医疗保险对价格更高的抗VEGF药物 (如aflibercept) 的支出. 这凸显了监测影响眼科临床决策的财务激励措施的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 私募股权 (PE) 公司正在越来越多地收购美国的医生实践.
- 眼科,特别是视网膜实践,是PE收购的目标.
- 这些收购对医疗保健支出和利用的影响尚不清楚.
研究的目的:
- 评估私募股权收购与医疗保险支出和用于常见视网膜服务的使用之间的关联.
- 分析PE所有权对治疗选择和视网膜护理相关成本的影响.
主要方法:
- 追溯的差异差异分析.
- 使用了20%的医疗保险服务费索赔数据集 (2015-2019).
- 匹配了82个PE获得的视网膜实践与基于收购前特征的控制实践.
主要成果:
- 与对照实践相比,PE获得的视网膜实践显示,使用价格更高的抗VEGF药物 (aflibercept) 的比例增加了22%.
- 在PE获得的实践中,aflibercept的医疗保险支出增加了21% (13,028美元/实践季度).
- 在评估和管理访问或诊断成像方面,没有观察到支出或使用的显著差异.
结论:
- 私募股权收购与在视网膜实践中使用更昂贵的抗VEGF药物的增加有关.
- 这种趋势导致医疗保险支出增加,需要监测PE对临床决策的影响.
- 这项研究强调了评估金融激励对私人实践中护理适当性的影响的重要性.
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