基于价值的护理如何改善医疗补助中母亲和婴儿的结果
Benjamin Howell, Leah Ramirez1, Kristin Austin
1Elevance Health, 1001 Pennsylvania Ave NW, Ste 710, Washington, DC 20004.
The American journal of managed care
|August 20, 2025
概括
医疗补助管理护理计划使用基于价值的护理 (VBC),提供者支持改善了母亲和婴儿的健康结果. 这种方法降低了成员的成本,并改善了产前护理,
科学领域:
- 母婴健康研究成果
- 医疗服务研究
- 基于价值的护理模式
背景情况:
- 医疗补助对美国的母亲和婴儿健康起着至关重要的作用.
- 基于价值的护理 (VBC) 与提供者支持是提高这些结果的策略.
- 这项研究分析了医疗补助管理计划中的仅激励VBC计划.
研究的目的:
- 审查受资助的VBC计划对母亲和婴儿健康结果和成本的影响.
- 为了比较医疗补助会员的结果,他们的提供者参与了VBC与那些没有参与的人.
- 评估提供者在实现VBC计划目标方面的有效性.
主要方法:
- 对2020年7月至2022年6月16个州的分娩情况进行了交叉分析.
- 使用医疗索赔数据来比较VBC参与者与非参与者之间的结果.
- 使用倾向平衡的多变量回归来估计VBC计划的影响.
主要成果:
- 获得VBC支持的成员的新生儿重症监护室 (NICU) 停留率,早产和低出生体重显著降低.
- 在VBC组中观察到更好的产前护理及时性和充分性.
- 较低的分娩费用,新生儿护理费用,以及产后第一年母亲和婴儿的整体费用与VBC参与有关.
结论:
- 在VBC计划中,付款人与提供者之间的合作关系可以提高Medicaid会员的孕产妇和婴儿健康结果.
- 这些VBC举措显示出大大节省成本的潜力.
- 这些发现支持将支持的VBC模型整合到Medicaid管理护理中.
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