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对医疗保险医生费用10年趋势的分析 手术支付表
Udai S Sibia1, Janelle-Cheri Millen1, John R Klune2
1Saint John's Cancer Institute, Providence Health and Services, Santa Monica, California.
Surgery
|January 23, 2024
概括
自2013年以来,医疗保险医生费用表支付医生服务大幅下降,尽管国家卫生支出不断增加. 这一趋势可能会威胁到手术护理的准入,需要支付改革倡导.
科学领域:
- 卫生经济学 卫生经济学
- 医疗政策 医疗政策
- 外科手术实践 在外科手术实践中
背景情况:
- 随着时间的推移,医疗保险支出大幅增加.
- 医疗保险医生费用表支付个人服务的费用有所下降.
- 这项研究研究了办公室访问,住院访问和手术程序的支付趋势.
研究的目的:
- 分析医疗保险医生费表支付的趋势.
- 将这些趋势与国家卫生支出进行比较.
- 评估对外科护理的影响.
主要方法:
- 使用医疗保险医生费用表查找工具查找支付数据 (2013-2023年).
- 使用消费者价格指数对所有支付数据进行通货膨胀调整.
- 国家卫生支出与医疗保险医生费表支付 (2013-2021) 的比较.
主要成果:
- 根据通货膨胀调整后的支付在2013-2023年期间下降了12.2% (门诊),19.1% (住院) 和22.8% (外科手术).
- 医生服务的国家卫生支出增长了33.9% (2013-2021年).
- 在同一时期,医生服务的医疗保险支付在门诊诊所的访问中增长很小 (1.3%),但在住院 (-10.6%) 和手术 (-9.8%) 服务方面下降.
结论:
- 逐步下降的医疗保险支付可能无法有效控制医疗保健支出.
- 持续的支付下降可能会危及获得优质外科护理的机会.
- 外科医生应该倡导永久的支付改革.
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