补充福利对医疗保险优势计划构成的影响
Emma L Tucher1, David J Meyers, Amal N Trivedi
1Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Dr, Pleasanton, CA 94588.
The American journal of managed care
|July 12, 2024
概括
提供新的补充福利的Medicare Advantage计划并没有显著改变新入学者的人口统计数据. 这项研究研究了主要与健康相关的福利和特殊补充福利对入学组合的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 人口学分析 人口学分析
背景情况:
- 医疗保险优势 (MA) 计划在2019-2020年获得了灵活性,以提供满足社会需求的福利.
- 其中主要包括与健康相关的福利 (PHRB) 和慢性病患者的特殊补充福利 (SSBCI).
研究的目的:
- 评估采用PHRB和SSBCI对新的MA计划注册人数和人口结构的影响.
- 评估基于种族,种族,年龄,双重资格和残疾身份的入学变化.
主要方法:
- 使用差异差异设计与追溯的医疗保险入学数据 (2016-2020年).
- 链接个人入学数据与计划级福利和透文件.
- 将采用补充福利计划的新注册人与匹配的控制计划进行比较.
主要成果:
- PHRB的采用显示了一种非显著的趋势,即减少完全双重资格的新成员.
- 采用SSBCI显示了一个非显著的趋势,即减少65岁以下的新成员.
- 在对多次比较进行调整后,没有观察到统计学上显著的人口变化.
结论:
- 在医疗保险优势计划中采用补充福利与新入学人数的显著人口变化无关.
- 研究结果表明,这些新的好处在研究期间没有吸引或阻止特定的人口群体.
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