分析社会需求 公共交易中的活动 医疗保险 优势组织
Khyathi Gadag1,2, Fred Ullrich1,2, Keith J Mueller1,2
1Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA.
医疗优势 (MA) 组织越来越多地提供与健康相关的社会福利,以解决健康的社会决定因素 (SDOH). 这一战略对患者的治疗结果和公司的收入产生了积极的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 医疗优势 (MA) 计划是健康保险市场的一个不断增长的部分.
- 解决健康的社会决定因素 (SDOH) 对于改善人口健康结果至关重要.
- 对医疗保险公司如何将SDOH整合到其产品中越来越感兴趣.
研究的目的:
- 评估主要的MA组织通过他们的福利设计来解决SDOH的承诺.
- 评估针对SDOH的补充福利对计划绩效的感知影响.
- 了解SDOH举措对MA增长和收入的战略重要性.
主要方法:
- 对六家大型商业管理公司公开报告 (季度,年度,代理声明) 的内容分析.
- 审查2023,2022和2023年第一季度的文件.
- 分析侧重于三个构造:MA增长,全公司的SDOH活动和MA计划特定的SDOH活动.
主要成果:
- MA计划提供量身定制的福利,以满足弱势群体的社会需求.
- 提供以SDOH为重点的补充福利的公司报告了改善的临床结果,成本节省和收入增加.
- MA被视为一个关键的增长领域,其创新的社会福利增强了服务不足的会员的价值主张.
结论:
- 马组织正在积极将SDOH倡议纳入其战略中.
- 满足社会需求的补充福利可以带来显著的临床和财务优势.
- 对寻求增长和市场差异化的MA计划来说,投资SDOH是一个战略上的必要条件.
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