在医疗保险D部分受益者中,阴道雌激素处方和成本趋势
Alexandra L Tabakin1, Wai Lee2, Harvey A Winkler1
1From the Division of Urogynecology and Reconstructive Pelvic Surgery, Northwell Health, Great Neck.
Urogynecology (Philadelphia, Pa.)
|March 26, 2024
概括
阴道雌激素 (VE) 的使用在2016年至2020年期间在医疗保险受益者中显著下降. 尽管索赔和受益人减少了,但每名患者的成本增加了,这表明价格可能会影响可访问性.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
背景情况:
- 美国妇产科医生学院于2016年发布了关于阴道雌激素 (VE) 对乳腺癌患者安全性的指南.
- 对于VE指导后发行的规定趋势以前没有被分析过.
研究的目的:
- 分析2016年至2020年期间医疗保险D部分受益者之间的VE支出和处方趋势.
- 为了识别VE利用,成本和处方者行为的变化.
主要方法:
- 医疗保险D部分支出和处方者数据集 (2016-2020年) 的回顾性分析.
- 检查 VE 索赔,支出,受益人和处方者的趋势.
- 妇产科医生处方模式的子分析.
- 使用克鲁斯卡尔-瓦利斯测试进行统计分析.
主要成果:
- 总的VE索赔数量从2016年的945,331个减少到2020年的320,571个.
- VE处方者和受益者的数量分别下降了70%以上.
- 每位受益人的平均支出从688.52美元增加到1,027.55美元.
- 埃斯特拉斯,尤瓦菲姆,瓦吉菲姆和埃斯特林是最常见的VE产品,大多数情况下每项索赔的平均支出增加.
结论:
- 阴道雌激素索赔,受益者和总支出从2016年到2020年有所下降.
- 尽管总体下降,但每位受益者和每位申请VE的支出增加了.
- 成本可能是影响阴道雌激素的利用和可获得性的重要因素.
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