增强行为健康服务投资回报率
Matt Hawrilenko1, Casey Smolka1, Emily Ward1
1Spring Health, New York, New York.
JAMA network open
|February 5, 2025
概括
雇主赞助的行为健康计划提供强的投资回报,每花费100美元就节省190美元. 投资于可访问的心理健康护理可以降低整体医疗索赔成本.
科学领域:
- 卫生经济学 卫生经济学
- 行为健康服务 研究 研究 行为健康服务
- 医疗保健管理的管理
背景情况:
- 雇主赞助的福利计划旨在改善行为健康护理的准入,并可能降低医疗保健成本.
- 以前的研究往往侧重于临床结果或医疗成本的降低,而不考虑行为健康服务成本,使投资回报不清楚.
研究的目的:
- 为了确定一个临床有效的雇主赞助的行为健康益处是否与净医疗成本节省有关.
主要方法:
- 一项回顾性队列研究分析了13,990名符合雇主赞助的行为健康福利的参与者,从2019年11月到2023年5月.
- 计划用户与非用户根据医疗风险,诊断和人口统计数据进行匹配,在福利推出前和之后进行1年的随访.
- 净医疗支出使用差异分析进行评估,比较每个会员每月 (PMPM) 的费用,包括所有医疗索赔和计划费用.
主要成果:
- 与对照组相比,该计划组的医疗支出净减少了PMPM -164美元.
- 这使得第一年每位参与者节省了1070美元,投资回报率为1.9倍 (每投资100美元就节省了190美元的索赔费用).
- 增加的行为健康成本被减少的身体医疗保健支出所抵消,在高风险人群中观察到更大的节省.
结论:
- 在雇主赞助的行为健康计划中投资100美元,并快速获得护理,可以减少190美元的医疗索赔成本.
- 扩大对行为健康护理的准入,代表了一种经济上可行的策略,可以为雇主降低医疗保健成本.
- 这些发现支持在雇主健康计划中整合和扩展全面的行为健康益处.
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