下一代负责任护理组织对医疗保险支出的影响
Shriram Parashuram1, Woolton Lee2, Kathleen Rowan3
1Shriram Parashuram, NORC at the University of Chicago, Bethesda, Maryland.
下一代负责任的护理组织 (NGACO) 模型每年每位受益人减少了270美元的医疗保险支出. 然而,在计算共享储蓄后,NGACO模型增加了医疗保险净支出.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 基于价值的护理是基于价值的护理.
背景情况:
- 下一代负责任的护理组织 (NGACO) 模式旨在提高医疗保险受益人的医疗保健价值.
- 它测试了高财务风险,创新的支付机制和灵活的护理服务.
研究的目的:
- 检查NGACO模型对医疗保险A和B部分支出的影响.
- 评估该模型在控制医疗保健成本方面的有效性.
主要方法:
- 准实验方法被用来分析模型的影响.
- 使用了62个ACO,超过420万受益者和91,000名从业者的数据.
主要成果:
- 根据NGACO模型,医疗保险支出每受益人每年减少270美元 (总计17亿美元).
- 在共享储蓄之后,该模型将每位受益人净医疗保险支出增加了56美元 (总计9670万美元).
- 随着时间的推移,支出下降有所增加,受ACO表现,改进和COVID-19大流行影响.
结论:
- NGACO模型在减少医疗保险总支出方面初步取得了成功.
- 诸如ACO绩效和支付结构等因素影响了支出结果.
- 需要进一步分析才能充分理解这些模型的长期财务影响.
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