ортопеди手术子专业的医疗保险支付和实践特征的差异
Jack Allen1, Colton Shepherd1, Tanner Heaton2
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
概括
医疗保险支付和患者特征在整形外科子专业之间有很大差异. 这些发现突出了潜在的财务激励因素,影响了骨科外科住院医生的职业选择.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 整形外科子专业在实践,患者人口统计和医疗保险补偿方面有所不同.
- 医疗保险支付的变化可能会影响医疗保健提供,并需要政策调整.
研究的目的:
- 分析和比较各种骨科手术子专业的特征和医疗保险支付.
- 了解影响骨科子专业选择的金融环境.
主要方法:
- 使用的医疗保险和医疗补助服务中心2019年的数据,根据特定子专业的当前程序术语 (CPT) 代码进行过.
- 验证了每个子专业的100名医生,收集了关于独特程序代码,受益者,服务和医疗保险总支付的数据.
- 雇员进行了后期测试和差异单因素分析,以评估支付差异.
主要成果:
- 手术导致了独特的CPT代码 (106) 和受益人 (571).
- 成人重建和关节整形手术的医疗保险总支付最高 (328,000美元),但唯一代码最少 (60).
- 脊椎外科手术受益人数 (387) 和服务人数 (1752) 最少,体育医学提供服务人数最多 (4221).
结论:
- 在骨科子专业之间,医疗保险支付,独特的程序代码和患者数量存在显著差异.
- 这些财务和实践变化可能会影响骨科外科住院医生的职业决策.
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