县级注册医疗保险优惠计划,提供扩展的补充福利
Zhiyou Yang1, Emily Zhu1,2, David Cheng1,3,4
1The Mongan Institute, Massachusetts General Hospital, Boston.
JAMA network open
|September 17, 2024
概括
医疗保险优势计划越来越多地为长期服务和支持 (LTSS) 和健康的社会决定因素 (SDOH) 提供补充福利. 在提供SDOH福利的双重符合条件的特殊需求计划 (D-SNP) 中,招生增长最高,地理差异较大.
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
- 老年学是一门学科.
背景情况:
- 医疗保险优势 (MA) 计划现在可以提供补充福利,解决长期服务和支持 (LTSS) 和健康的社会决定因素 (SDOH) 自2019-2020年以来.
- 这些福利旨在改善健康结果,并满足受益人的社会经济需求.
研究的目的:
- 分析提供LTSS和SDOH福利的MA计划的入学时间趋势.
- 调查不同县特征的招生地理差异.
主要方法:
- 采用公开可用的MA入学和福利数据从2020年到2024年的横截面研究.
- 多变量线性回归模型被用于评估县特征与2024年招生之间的关联.
- 分析对双重符合条件的特殊需求计划 (D-SNP) 和非D-SNP进行了分层分析.
主要成果:
- 从2020年到2024年,D-SNP在提供SDOH福利的计划中注册的人数从9%增加到46%.
- 非D-SNP注册的LTSS和SDOH福利从2020-2023年增加,但在2024年下降.
- 2024年,家庭支持服务和食品/产品分别是最常见的LTSS和SDOH福利,县级差异很大.
结论:
- 招生增长在提供SDOH福利的D-SNP中最为显著.
- 招生情况的地理差异表明,农村受益者和双重资格的入学者可能存在机会差距.
- 诸如MA透率,城市化和综合计划入学率等因素影响了福利的吸收.
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