在阻塞性睡眠呼吸暂停的舌头和舌手术中,医疗保险的数量和补偿趋势
Sina J Torabi1, Cynthia Tsang2, Rahul A Patel3
1Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, CA, USA.
American journal of otolaryngology
|May 10, 2024
概括
针对阻塞性睡眠呼吸暂停 (OSA) 的舌头和状腺手术在2000年至2021年期间,医疗保险利用率大幅增加,随后下降. 这一趋势主要是由射频舌头切除 (RFT) 程序驱动的,反映了报销波动.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,需要不同的治疗策略.
- 舌头和状腺手术代表了针对OSA的手术干预.
- 了解这些程序的利用和财务方面对于医疗保健规划至关重要.
研究的目的:
- 分析在OSA患者中使用舌腔和舌手术的趋势.
- 检查这些程序的相应的偿还模式随着时间的推移.
- 确定影响OSA外科干预观察到的趋势的因素.
主要方法:
- 从2000年到2021年,对医疗保险B部分国家总结数据档案进行了回顾性分析.
- 包括当前程序术语 (CPT) 代码,用于状腺肌切除和悬浮 (HMS),舌头底悬浮 (TBS),舌头的射频切除 (RFT) 和舌头桃体切除 (LT).
- 检查年度外科手术量和经通胀调整的医疗保险支付.
主要成果:
- 从2000年到2015年,OSA的语言和状腺手术的整体利用率增加了2777%,然后到2021年下降了82.9%.
- 医疗保险支付反映了这一趋势,从2000年的46,958美元上升到2015年的845万美元,然后在2021年降至341,011美元.
- 舌头的射频切除 (RFT) 是利用升的主要驱动因素,其使用和补偿在2015年达到顶峰,随后急剧下降.
结论:
- 在医疗保险人口中,对OSA进行的舌头和状腺手术的使用从2000年到2021年总体上下降了.
- 2015年使用量大幅增加,主要是由于采用并随后迅速下降的RFT程序.
- 观察到的RFT使用率波动与医疗保险报销率的变化直接相关.
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