双重资格的受益人使用杂货补贴和利用医疗保健
Rebecca Cobb1,2, Daniel Cullen3, Michelle Nguyen Locke1
1Elevance Health, Indianapolis, IN.
The American journal of managed care
|February 27, 2026
概括
提供杂货卡的医疗保险优势 (MA) 计划在双重资格成员中增加了医疗保健访问. 这表明非医疗效益对这一群体的利用有积极的影响.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险优势 (MA) 计划越来越多地提供非医疗补充福利.
- 杂货卡福利是一种旨在改善会员福祉的新型补充服务.
- 了解这些好处对医疗保健利用的影响对于政策和计划设计至关重要.
研究的目的:
- 调查使用MA杂货卡福利和随后的医疗保健利用之间的关联.
- 为了比较使用杂货福利的双重资格MA会员与未使用杂货福利的双重资格MA会员之间获得医疗保健的机会.
主要方法:
- 使用2021-2022年MA索赔数据的观察性队列研究.
- 分析包括持续注册的双重资格特殊需求计划会员.
- 差异分析比较了福利引入前后的利用情况.
主要成果:
- 购物卡的使用与每年健康,初级保健和专家访问的可能性增加有关.
- 观察到办公室和专家访问的数量略有增加.
- 频繁使用福利显示访问概率和频率略有增加.
结论:
- 在MA计划中提供杂货卡优惠与医疗保健访问的适度增加有关.
- 这些发现支持非医疗补充福利的有利影响,特别是对于双重资格的受益者.
- 允许非医疗福利的政策变化可能会提高医疗保健的获取和利用.
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