在商业保险和医疗补助人口中,与酒精相关的医疗费用
Pelin Ozluk1, Rebecca Cobb1, Gosia Sylwestrzak1
1HealthCore, Inc., Wilmington, Delaware.
AJPM focus
|October 4, 2023
概括
过度饮酒显著增加了医疗保健成本,每人每年为商业和医疗补助保险增加数千美元. 解决与酒精有关的危害可以减少美国医疗保健系统的负担.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 过度饮酒是美国可预防死亡的主要原因之一.
- 虽然社会和医疗成本是公认的,但健康计划下的直接医疗成本仍然没有量化.
- 需要了解与酒精有关的疾病对医疗保健支出的财务影响.
研究的目的:
- 估计与过度饮酒相关的直接医疗费用.
- 量化与酒精有关的诊断所产生的医疗保健支出.
- 分析商业保险和医疗补助人口之间的成本差异.
主要方法:
- 利用来自大型国家保险公司 (2008-2019) 的索赔数据.
- 采用病例对照匹配研究设计,将酒精导致的疾病患者与类似的对照人群进行比较.
- 在12个月的随访期间,检查了医疗保健使用和成本,按医疗保健环境和CDC的酒精相关疾病影响代码分类.
主要成果:
- 酒精导致的诊断与更高的人均医疗保健费用有关:商业保险人为14918美元,医疗补助保险人为4823美元.
- 心血管疾病,肝脏/胆囊/胰腺疾病,某些癌症和与酒精有关的急性问题占这些额外成本的60%-75%.
- 在两个保险集团之间观察到显著的成本差异.
结论:
- 调查结果强调了过度饮酒对美国医疗保健系统的巨大经济负担.
- 针对风险人群的公共和私人干预措施可以减轻这些显著的医疗保健成本.
- 减少与酒精有关的危害为减轻医疗保健资源压力的机会提供了机会.
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