皮肤科医生中医疗保险选择退出趋势可能反映系统健康政策:横截面分析
Aneesh Agarwal1, Joseph Han1, Yen Luu2
1Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
JMIR dermatology
|August 26, 2023
概括
皮肤科医生从医疗保险中选择退出减少到2021年,但在2022年显著增加. 这一趋势可能标志着医疗保健政策和获得皮肤病护理的问题的出现.
科学领域:
- 医学经济学 医学经济学
- 卫生政策分析 卫生政策分析
- 皮肤病学实践管理管理
背景情况:
- 提供者选择退出医疗保险是一个由医疗保险和医疗补助服务中心 (CMS) 追踪的指标.
- 从历史上看,选择退出的人数随着医疗保健政策的变化而波动.
- 皮肤科医生选择退出率有所不同,反映了更广泛的系统性转变.
研究的目的:
- 分析皮肤科医生选择退出趋势,使用CMS数据从2001年到2022年.
- 调查选择退出率的变化是否表明卫生政策的状态.
- 提供有关医疗保险的潜在医疗保健改革需求的证据.
主要方法:
- 对公开可用的CMS Opt Out Affidavits数据集的评估.
- 分析的重点是所有皮肤病专业.
- 数据范围从2001年1月1日到2022年5月27日.
主要成果:
- 在研究期间,共记录了196名皮肤科医生选择退出.
- 2016年出现了最高的升,33家提供商选择退出.
- 从2022年1月到5月的新月度选择退出明显高于2021年前7个月 (P=.03).
结论:
- 尽管2010年代末的选择退出总体下降,2022年出现了显著的增长.
- 皮肤科医生接受医疗保险的减少对患者获得护理的机会构成潜在风险.
- 对医生选择退出数据的持续评估对于了解医疗保健政策影响至关重要.
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