在医疗保险优势中,初级护理人群在医疗保险优势中使用远程医疗服务
Emily Boudreau1, Amanda Sutherland1, Debra Bozzi1
1Humana Healthcare Research, Louisville, KY 40202, United States.
Health affairs scholar
|October 11, 2024
概括
在初级保健中,远程医疗的使用在流行病后仍然很高. 脆弱,残疾或低收入的Medicare Advantage受益人更多地使用远程医疗,特别是基于风险的支付模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 医疗保健政策 医疗保健政策
背景情况:
- 自2020年以来,在初级保健中远程医疗的使用量有所下降,但仍然高于疫情前的水平.
- 讨论了远程医疗在流行病后医疗保健中的作用,特别是对于面临个人护理接入挑战的患者群体.
研究的目的:
- 检查医疗保险优势受益者在初级保健中使用视听远程医疗的情况.
- 根据患者的特征来评估远程医疗的使用情况,这些特征与访问挑战有关:低收入状态,残疾和脆弱.
主要方法:
- 在Medicare Advantage受益者中对初级保健门诊访问的分析.
- 基于受益人特征 (低收入,残疾,脆弱) 的远程医疗访问份额的比较.
- 基于提供者支付模式的差异化远程医疗使用的评估 (双面风险与服务费用).
主要成果:
- 初级保健访问更有可能为脆弱 (39.4%),残疾 (20.1%) 和低收入 (8.3%) 的受益者提供远程医疗.
- 与收费服务模式相比,在具有和没有访问挑战的受益者之间,在双面风险合同中的提供者中,远程医疗使用的差异更大.
结论:
- 医疗保险优惠计划的受益人不成比例地使用视听远程医疗服务,而这些受益人面临着访问挑战.
- 提供者支付模式影响弱势群体对远程医疗的公平使用.
- 调查结果为正在进行的关于远程医疗在确保平等获得初级保健方面的作用的辩论提供了信息.
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