对于常见的儿科整形手术的医疗保险退款趋势:2000年至2022年
Taylor F Faust1, Pablo Castaneda2
1Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|June 11, 2024
概括
儿童整形外科手术的医疗保险补偿金大幅下降. 从2000年到2022年,大多数手术的调整支付减少,影响了获得护理的机会.
科学领域:
- 儿科整形外科 儿科整形外科
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 政府的货币补偿,特别是医疗保险,对于医疗保健提供者来说至关重要.
- 了解报销趋势对于儿科骨科服务的可持续性至关重要.
研究的目的:
- 评估2000年至2022年期间医疗保险对常见儿科骨科手术的补偿趋势.
- 分析通货膨胀对这些偿还价值的影响.
主要方法:
- 数据来自医疗保险和医疗补助服务中心 (CMS) 医生费用表.
- 根据当前程序术语 (CPT) 代码识别的22种儿科骨科手术的报销数据.
- 使用消费者价格指数 (CPI) 调整通胀至2022年美元.
主要成果:
- 在22个程序中的20个程序中,经通货膨胀调整后,退款平均下降了32.65%.
- 阿基里斯骨切割出现了最大的下降 (-54.38%),而脊髓融合修订增加了 (26.00%).
- 调整后退款的年平均下降率为2.08%.
结论:
- 这是第一个分析儿科骨科手术中医疗保险报销趋势的研究.
- 经通货膨胀调整后的退款在过去二十年中在大多数程序中呈现出一致的下降.
- 这些趋势需要政策制定者,医院和外科医生的注意,以确保儿童获得骨科护理.
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