对管理护理和负担得起的住房在急性护理成本上的合作模式的评估
Jack Tsai1, Suja Rajan, Chau Truong
1The University of Texas Health Science Center at Houston, 1200 Pressler St, Houston, TX 77030.
优质健康计划和普罗斯佩拉住房之间的合作降低了医疗保健成本和紧急访问. 这项研究强调了将医疗覆盖与住房服务相结合的价值,以改善结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 管理护理组织 (MCO) 在医疗保健提供中发挥着至关重要的作用.
- 负担得起的住房越来越被认为是健康的社会决定因素.
- 将医疗服务与住房支持相结合,可以解决复杂的人口需求.
研究的目的:
- 评估Superior HealthPlan (Medicaid MCO) 和Prospera住房社区服务之间的协作服务模式.
- 为了比较协作模型和对照组的参与者之间的医疗保健结果和成本.
主要方法:
- 准实验性设计,使用两个组 (Prospera+Superior协作与Superior-only).
- 对208名参与者 (每组104) 的医疗索赔数据的分析.
- 结果和成本在2019年模型实施前12个月和之后12个月进行了比较.
主要成果:
- 普罗斯佩拉+Superior组在急诊室/急诊诊所的访问减少了56%.
- 在Prospera+Superior组中,处方费用为每位参与者低2061美元.
- 合作模式显示出显著的临床和经济效益.
结论:
- 在MCO和社区提供者之间的多部门合作提供了显著的价值.
- 将住房服务与医疗补助管理护理相结合,可以改善健康结果并降低成本.
- 有证据支持这种协作服务模式的有效性.
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