在北卡罗来纳州医疗补助转型期间,非紧急医疗运输的趋势
Evan Iacobucci1, Noreen McDonald2
1School of Earth, Environment, and Sustainability, Missouri State University, Springfield, Missouri.
North Carolina medical journal
|March 10, 2026
概括
北卡罗来纳州的北卡罗来纳州.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 运输政策 运输政策
- 医疗补助管理护理管理护理
背景情况:
- 北卡罗来纳州的2021年医疗补助转型从收费服务转向管理护理.
- 这一变化显著改变了非紧急医疗运输 (NEMT) 服务.
- 之前的研究集中在受益者和提供者的经验上,缺乏在这个过渡期间对NEMT使用趋势的系统分析.
研究的目的:
- 从2019年到2023年系统分析北卡罗来纳州医疗补助非紧急医疗运输 (NEMT) 索赔的趋势.
- 检查国家过渡到管理护理期间NEMT服务提供和成本的变化.
主要方法:
- 分析北卡罗来纳州的医疗补助NEMT索赔数据跨越2019-2023.
- 根据整体服务,旅行方式,提供者类型 (公共与私人) 和地理位置 (城市与农村) 检查趋势.
主要成果:
- 由于COVID-19后的复苏和医疗补助扩张的影响,NEMT索赔增加,分布不均.
- 私人提供者,特别是那些处理管理护理组织 (MCO) 索赔的提供者,与收费服务相比,显示出更快的增长.
- 在城市和农村地区之间观察到NEMT趋势的显著差异.
结论:
- 该研究强调了在提供高效和成本效益的农村NEMT方面面临的挑战,其证据是城市和私营部门的集中增长.
- 每次索赔成本的上升表明需要持续监测管理护理系统的效率目标.
- 同时的医疗补助转型和流行病恢复使对NEMT趋势的特定因果关系的隔离变得复杂.
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