2011年至2022年间,医疗保险对顶部烧伤手术手术手术的补偿金变化,按国家变化
Jack G Allen1, Alexander Dorius Mba1, Carson Bateman2
1Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, USA.
Cureus
|October 16, 2024
概括
从2011年到2022年,医疗保险对烧伤手术的补偿每年减少2.67%. 这些烧伤护理支付趋势的地理差异可能会影响医生选择和患者获得专业护理.
科学领域:
- 医学经济学 医学经济学
- 外科手术报销趋势
- 烧伤护理管理管理
背景情况:
- 医疗保险报销对于外科专业的生存能力至关重要.
- 了解报销的地理差异对于公平获得医疗保健至关重要.
- 烧伤手术报销趋势尚未全面分析.
研究的目的:
- 分析2011年至2022年普通烧伤手术程序的年度医疗保险退款变化的地理变化.
- 确定美国各州通货膨胀调整后偿还率的趋势.
- 评估报销变化对医生实践和患者准入的潜在影响.
主要方法:
- 对医疗保险和医疗补助服务中心医生费用表数据库 (2011-2022) 的分析.
- 常见烧伤手术手术报销的通胀调整百分比变化计算 (CPT代码 16000, 16020, 16025, 16030, 16035).
- 根据频率进行权衡程序,并使用消费者价格指数进行通胀调整.
主要成果:
- 在全国范围内,从2011年到2022年,顶部烧伤手术手术的通货膨胀调整后的医疗保险退款平均每年下降2.67%.
- 伊利诺伊州,密西西比州,爱达荷州和密歇根州等州经历了最大的年度下降.
- 华盛顿,纽约,俄勒冈和哥伦比亚特区等州的年度减少最少.
结论:
- 烧伤手术的医疗保险补偿在2011年至2022年期间大幅下降.
- 报销的地理差异可能会影响医生的专业选择,并可能限制在某些地区获得护理的机会.
- 需要进一步的研究和政策干预,以解决退款下降的问题,并确保Medicare受益人获得高质量的烧伤护理.
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