植入性阴茎假体治疗勃起功能障碍:美国的保险覆盖
Mohit Khera1, Joshua P Langston2, Matthew E Pollard3
1Baylor College of Medicine, Houston, Texas.
Urology practice
|August 18, 2023
概括
大约80%的患者有植入性阴茎假体覆盖,但雇主排斥是一个越来越大的障碍. 这一趋势凸显了治疗勃起功能障碍的医疗保险方面的差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 医疗器械 医疗器械
背景情况:
- 勃起功能障碍 (ED) 影响着男性人口的很大一部分,需要各种治疗选择.
- 植入性阴茎假体是严重勃起障碍的关键治疗方法,但获得这些假体通常取决于医疗保险的覆盖范围.
- 了解保险覆盖模式对于患者获得ED治疗至关重要.
研究的目的:
- 评估美国医疗保险计划对用于勃起功能障碍的可植入阴茎假肢的保险范围.
- 分析保险批准的趋势,并确定拒绝的原因,特别是雇主排除.
主要方法:
- 分析制造商的福利验证数据库,包括全付款人和雇主赞助的健康计划.
- 查询了2018-2021年的数据,以确定植入性阴茎假体的批准状态.
- 根据付款人类型和时间的变化,评估覆盖范围的变化,重点关注缺乏覆盖的原因.
主要成果:
- 在所有分析的健康计划中,整体植入性阴茎假体覆盖率约为80%.
- 与商业保险 (75%) 相比,政府保险 (医疗保险,医疗保险优势,Tricare,VA) 的覆盖率更高 (80-100%).
- 雇主排除是被拒绝覆盖的主要原因,从2019年到2021年增加了29.3%.
结论:
- 尽管总体覆盖率很高,但雇主排斥代表着对可植入阴茎假体访问的重大和日益增长的障碍.
- 通过政府赞助的健康计划,覆盖范围比商业选择更有利.
- 解决雇主排斥的问题对于通过阴茎假肢改善公平获得ED治疗至关重要.
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