在高风险患者中,初级保健访问节奏和住院率以及住院率
Adam Matsil, Daniel Shenfeld, Clive Fields
1VillageMD Research Institute, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922.
The American journal of managed care
|June 24, 2024
概括
医疗保险的受益者越来越多地选择医疗保险优势 (MA) 计划,而不是传统的医疗保险 (TM) 与雇主赞助的补充保险. 这种转变影响了覆盖率,特别是在白人和高收入人群中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 大多数医疗保险受益者使用补充保险或医疗保险优势 (MA) 来管理传统医疗保险 (TM) 的自付费用.
- 了解补充保险的转变在MA入学人数不断增长的背景下至关重要.
研究的目的:
- 检查2005年至2019年期间Medicare补充保险覆盖范围的变化.
- 分析这些变化与医疗保险优势 (MA) 增加的入学人数有关.
主要方法:
- 使用医疗保险当前受益者调查 (MCBS) 数据重复横截面分析.
- 根据保险类型对受益者的分类:MA (没有医疗补助),TM没有补充保险,TM有雇主赞助的保险,TM有Medigap,或医疗补助入学.
主要成果:
- 在2005年至2019年期间,雇主赞助的补充保险覆盖率下降了一半 (31.8%至15.5%).
- 医疗保险优势 (MA) 注册人数增加了一倍以上 (13.4%至35.1%).
- 没有补充覆盖的TM受益者减少,黑人,西班牙裔和低收入人群的下降幅度最大.
结论:
- 澳门银河娱乐注册人数的增加与传统医疗保险补充保险模式的重大转变有关.
- 这些发现凸显了医疗保险受益人保险决策的相互联系性质.
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