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医疗保险优势和农村医院的利能力
Young H Kim1,2, Kristin L Reiter1,2, Kristie W Thompson2
1Department of Health Policy and Management, UNC Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, North Carolina, USA.
医疗保险优势 (MA) 越来越多地用于农村医院. 更高的MA患者日与更好的农村医院运营利相关,但非随机分布使财务影响分析复杂化.
科学领域:
- 卫生经济学 卫生经济学
- 农村卫生政策 农村卫生政策
- 医院的财务表现 医院的财务表现
背景情况:
- 医疗保险优势 (MA) 注册人数大幅增长.
- 了解MA对农村医院的财务影响对于医疗保健的可持续性至关重要.
研究的目的:
- 在农村与城市医院 (2018-2023) 中比较医疗保险优势 (MA) 天.
- 根据MA利用情况,分析2022-2023年医院四分位数的运营利能力.
- 确定影响农村环境中MA-利能力关系的医院特征.
主要方法:
- 使用的医疗保险和医疗补助服务中心 (CMS) 医疗费用报告信息系统 (HCRIS) 数据 (2018-2023).
- 将医院分为四分之一的医疗保险日的百分比归因于MA.
- 对医院特征和财务绩效进行描述性分析.
主要成果:
- 农村医院的医疗保险日数中位数从农村医院的医疗保险日数从11.3% (2018-2019) 增加到28.0% (2022-2023).
- 在2022-2023年,最高MA四分位数 (Q4) 的农村医院的中位运营利率为3.4%,而最低四分位数 (Q1) 的0.0%.
结论:
- 较高的MA利用率与农村医院的运营利有所改善.
- 亚马病患者的非随机分布表明,农村医院具有明显的特征,使直接财务影响评估复杂化.
- 未来的研究必须在评估MA对农村医疗保健提供者的财务影响时考虑这些复杂性.
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