在医疗保险的技能护理设施价值基础采购计划中,2024年处罚
Sydney P Wheeler1, Sunny C Lin2,3, Gmerice Hammond3,4
1Washington University School of Medicine, St. Louis, Missouri, USA.
Journal of the American Geriatrics Society
|August 2, 2025
概括
大多数熟练护理机构 (SNF) 在2024年医疗保险基于价值的采购 (VBP) 计划中面临罚款. 服务于更多黑人或西班牙裔患者的设施,营利性设施以及城市或社会经济贫困地区的设施更有可能获得最高罚款.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
- 老年学是一门学科.
背景情况:
- 医疗保险技术护理机构 (SNF) 基于价值的采购 (VBP) 计划根据30天的再录取率调整支付.
- 了解与处罚相关的设施级因素对于程序改进至关重要.
研究的目的:
- 确定与2024年SNF VBP计划中最高罚款相关的设施级特征.
主要方法:
- 使用公开的CMS数据对10278个SNF进行了回顾性,横截面分析,用于2024年SNF VBP计划.
- 使用后勤回归分析了患者人口统计学,设施结构和社区因素与最高罚款收入之间的关联.
主要成果:
- 大多数国家无限基金 (71.7%) 收到了罚款,其中33.1%收到了最高罚款.
- 较高比例的黑人和西班牙裔患者,营利性地位,城市位置和社会经济贫困的邮政编码与最高处罚的几率增加显著相关.
- 南部地区的设施也显示出最高罚款的可能性更高.
结论:
- 在SNF VBP计划中的处罚受到患者组合,所有权和地理因素的影响.
- 调查结果可以为决策者提供信息,以改进SNF VBP计划,准质量改善领域,并指导投资.
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