根据多机构成本分析结果,目前医疗保险对复杂的血管内主动脉修复的补偿不足
Clayton J Brinster1, Samuel R Money1, Aaron Hayson1
1Vascular Surgery Section, Ochsner Health, New Orleans, LA.
Journal of vascular surgery
|September 21, 2023
概括
复杂的内血管大动脉动脉瘤修复 (comEVAR) 使用窗口设备 (FEVAR) 比使用平行分支支支架 (chEVAR) 更便宜. 目前的医疗保险退款不足以支付这些手术,不利于大量的中心.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
- 医疗器械技术 医疗器械技术
背景情况:
- 复杂的内血管大动脉动脉瘤修复 (comEVAR) 使用窗户内血管大动脉修复 (FEVAR) 或烟内血管大动脉修复 (chEVAR).
- 了解comEVAR的财务可行性对于医疗保健提供者和机构至关重要.
研究的目的:
- 为了比较FEVAR和cheVAR手术的可植入血管设备成本.
- 通过比较设备成本与医疗保险退款来评估comEVAR的财务可行性.
主要方法:
- 对125个comEVAR病例 (70 FEVAR,53 chEVAR) 进行了多机构分析.
- 植入式设备的成本是从一个大型采购联盟获得的.
- 成本与诊断相关群体的医疗保险补偿率进行了比较268/269.
主要成果:
- 对comEVAR的平均植入式设备成本为28,470美元,占医疗保险中位数报销金额的80% (35,755美元).
- FEVAR设备成本 (26,499美元) 显著低于chEVAR成本 (32,122美元).
- 设备成本占FEVAR补偿金的74%,ChEVAR补偿金的90%.
结论:
- 植入器械成本占comEVAR医疗保险退款的很大一部分.
- chEVAR 的价格明显高于 FEVAR 的价格.
- 目前的医疗保险补偿可能对进行复杂大动脉修复的大量中心来说不足,这表明需要更新补偿政策.
更多相关视频
相关概念视频
Aneurysm III: Interprofessional Care
9
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
9
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11


