退伍军人卫生管理局的福利价值对依赖程度的影响很小
Yevgeniy Feyman1, Allison Dorneo, Steven D Pizer
1Boston University School of Public Health, 715 Albany St, Boston, MA 02118.
The American journal of managed care
|February 20, 2025
概括
福利价值对退伍军人如何依赖退伍军人卫生管理局 (VHA) 或医疗保险优势 (MA) 的影响很小. VHA福利价值的变化不太可能显著改变退伍军人的医疗保健选择.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 美国退伍军人拥有多种健康保险选择,包括退伍军人健康管理局 (VHA) 和医疗保险.
- 覆盖范围的战略选择可能来自福利的可用性和价值,可能导致资源分配效率低下.
- 了解福利价值和覆盖依赖之间的联系对于优化医疗保健利用和预算至关重要.
研究的目的:
- 调查VHA和医疗保险优势 (MA) 的相对福利价值与退伍军人的入学率和对VHA提供的护理的依赖之间的关系.
- 量化VHA福利价值变化对退伍军人的Medicare Advantage入学和VHA护理利用的影响.
主要方法:
- 分析了2016-2019年美国退伍军人的全国代表性,横截面调查数据.
- 对于VHA和MA计划,利用了一种新的福利价值衡量方法.
- 使用带有州和年固定效应的线性回归来评估相对VHA福利价值对MA入学和随后的VHA护理依赖的影响.
主要成果:
- 相对VHA福利价值增加1美元与MA入学概率最大降低0.2%相关.
- 这一增长还与依赖VHA付费护理的比例增加0.3个百分点相对应.
- 影响在各个子组中是一致的,在收到不那么慷慨的福利的人群中观察到略有更大的影响.
结论:
- 对于大多数退伍军人来说,VHA保险的感知福利价值对他们依赖VHA服务的影响很小,通常在统计学上是微不足道的.
- 调查结果表明,修改VHA福利价值不太可能导致VHA医疗保健退伍军人利用模式发生重大变化.
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