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不健康的日子的代价:一种新的价值评估
Kelsey C McNamara1, Ellen T Rudy2, John Rogers3
1Papa Inc, Miami, Florida, USA.
Population health management
|August 27, 2024
概括
在医疗保险优势会员中减少不健康的日子可以显著降低医疗保健成本. 每个不健康的一天都与增加的医疗费用有关,这突显了与健康有关的生活质量措施的价值,用于成本估计.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对健康社会决定因素 (SDOH) 的营利性公司往往缺乏评估干预措施的索赔数据.
- 与健康相关的生活质量 (HRQOL) 措施,如健康日措施,可以作为影响评估的代理指标.
- 医疗保险优势 (MA) 人群可能有未满足的社会需求,使他们适合研究SDOH干预措施.
研究的目的:
- 探索MA群体中自我报告的身体和精神不健康的日子与医疗保健成本之间的关联.
- 评估HRQOL措施的实用性,作为SDOH行业干预影响的代理.
- 在高风险人群中确定不健康日和医疗保健支出之间的关系.
主要方法:
- 对2,354名MA会员进行了回顾性,横截面的研究,其中有基线不健康日和索赔数据.
- 最小平方回归分析,以评估医疗费用和不健康日之间的关系.
- 审查主要诊断类别 (MDCs),以了解健康状况的负担和健康日措施的强度.
主要成果:
- 每个额外的身体不健康的一天都与30天的医疗费用增加60美元有关.
- 每个额外的精神不健康的一天与30天的医疗费用增加34美元有关.
- 不健康的日子和医疗保健费用都随着MDC数量的增加而增加.
结论:
- 自我报告的不健康日是评估SDOH干预措施的有价值的HRQOL措施.
- 在高风险人群中减少不健康的日子为医疗保健成本节省提供了重大机会.
- 健康日措施可以成为医疗保健干预措施成本估计的重要工具.
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