在COVID-19大流行期间,商业保险人员的支出模式
Ravi B Parikh1, Ezekiel J Emanuel, Yueming Zhao
1Perelman School of Medicine, University of Pennsylvania, 423 Guardian Dr, Blockley 1102, Philadelphia, PA 19104.
The American journal of managed care
|October 23, 2023
概括
2020年,由于COVID-19疫情,美国的医疗保健支出遭受了重大冲击. 到2021年年中,支出几乎恢复到基线水平,出现了一些压缩需求的迹象,但未来的支付模式仍面临挑战.
科学领域:
- 卫生经济学 卫生经济学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- COVID-19 疫情对医疗保健利用和支出模式产生了重大影响.
- 了解这些财务转变对于医疗保健政策和财务规划至关重要.
研究的目的:
- 在COVID-19大流行期间,分析美国医疗保健支出在大量商业保险人口中的趋势.
- 为了确定大流行对每个会员每月 (PMPM) 医疗支出的影响.
主要方法:
- 一项横截面研究使用了2018年5月至2021年12月期间超过9700万商业保险人的数据进行.
- 经通货膨胀调整的PMPM医疗支出在定义的COVID-19前和多个COVID-19后期间进行了分析.
- 支出经过调整以考虑人口统计因素,并发病症和社会经济指标.
主要成果:
- 平均PMPM医疗支出在2020年初急剧下降,但在2020年底恢复到大流行前的水平.
- 在2021年初,支出仍低于基线,然后在2021年第二季度上升至大流行前水平,然后再次下降.
- 疫情引发了显著的支出冲击,复苏需要一年多时间.
结论:
- 随着COVID-19的流行,美国的医疗保健支出发生了重大破坏,并延迟了复苏.
- 有证据表明,潜在的压缩需求可能会影响2021年的支出模式.
- 观察到的支出波动对在替代支付模式中建立基准提出了挑战.
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