在医疗保险共享储蓄计划中负责任的护理组织的长期支出
Amelia M Bond1,2, Yasin Civelek1,2, William L Schpero1,2
1Division of Health Policy & Economics, Weill Cornell Medical College, New York, New York.
在医疗保险共享储蓄计划 (MSSP) 中,负责任的护理组织 (ACO) 显示,随着时间的推移,医疗保健支出减少了. 这些储蓄显著增长, 特别是医生主导和较小的ACO, 总计数十亿美元的医疗保险.
科学领域:
- 健康经济学
- 医疗保健政策
- 人口健康管理
背景情况:
- 最初的医疗保险共享储蓄计划 (MSSP) 群体显示医疗保健支出有所减少.
- ACO参与对医疗保健支出的长期影响尚不清楚.
研究的目的:
- 评估MSSP ACO参与者的医疗保健支出长期变化.
- 分析十年来支出减少效应的演变.
主要方法:
- 使用了2010-2019年传统的医疗保险数据.
- 使用差异分析,将ACO患者与非ACO对照进行比较.
- 计算了3年和6年的效应,分析了ACO特征的变化 (大小,农村地区,医院附属).
主要成果:
- ACO形成与每年每名患者平均差异性支出减少142美元 (3年) 和294美元 (6年) 相关.
- 随着时间的推移,每名患者的支出减少了584美元.
- 医生组和小型医疗保险机构的支出减少较大,估计为4.1至8.1亿美元的医疗保险储蓄 (2012-2019).
结论:
- 在MSSP中的负责任的护理组织在他们的第一个十年中大幅度减少了医疗保健支出.
- 这些调查结果突出显示,随着时间的推移,ACO在控制成本方面越来越有效.
- 具体的ACO结构,如医生团体和较小的组织,在节省成本方面更有效.
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