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医疗补助队列的纵向登记和支出模式。

Longitudinal patterns of enrollment and expenditures for a Medicaid cohort.

作者信息

Howell E M, Andrews R M, Gornick M

出版信息

Health Care Financ Rev. 1988 Fall;10(1):71-85.

PMID:10312822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4192913/
Abstract

This article is based on 4 years of data for a cohort of Medicaid enrollees in California and Georgia to determine patterns of enrollment and expenditures. The analyses were developed from the statistical system known as Tape-to-Tape, which is based on Medicaid enrollment and claims files from these and other States. The composition of the cohort changed over times as a result of the differential rates of turnover for subgroups of the Medicaid population. Longitudinal expenditure patterns also varied by health service and eligibility group. These Medicaid expenditure patterns differed from those observed previously in Medicare studies, undoubtedly reflecting differences in service coverage under Medicare and Medicaid.

摘要

本文基于加利福尼亚州和佐治亚州医疗补助计划参保人群4年的数据,以确定参保模式和支出情况。这些分析是基于一种名为“磁带对磁带”的统计系统开展的,该系统基于这些州和其他州的医疗补助计划参保及理赔档案。由于医疗补助人群各亚组的更替率不同,该队列的构成随时间发生了变化。纵向支出模式也因医疗服务和资格组而异。这些医疗补助支出模式与之前在医疗保险研究中观察到的模式不同,无疑反映了医疗保险和医疗补助计划在服务覆盖范围上的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/4192913/fb12e3d3db57/hcfr-10-1-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/4192913/29161cec163e/hcfr-10-1-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/4192913/fb12e3d3db57/hcfr-10-1-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/4192913/29161cec163e/hcfr-10-1-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916a/4192913/fb12e3d3db57/hcfr-10-1-71-g002.jpg

相似文献

1
Longitudinal patterns of enrollment and expenditures for a Medicaid cohort.医疗补助队列的纵向登记和支出模式。
Health Care Financ Rev. 1988 Fall;10(1):71-85.
2
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引用本文的文献

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Deciphering Medicaid data: issues and needs.解读医疗补助数据:问题与需求
Health Care Financ Rev. 1990 Dec;Spec No(Suppl):35-45.

本文引用的文献

1
Medicare reimbursement and regression to the mean.医疗保险报销与均值回归。
Health Care Financ Rev. 1988 Spring;9(3):9-22.
2
Nursing home costs for those dually entitled to Medicare and Medicaid.对于那些同时享有医疗保险和医疗补助资格的人来说,养老院费用。
Health Care Financ Rev. 1987 Winter;9(2):1-14.
3
Using prior utilization to determine payments for Medicare enrollees in health maintenance organizations.利用既往医疗服务利用率来确定健康维护组织中医疗保险参保人的支付金额。
Health Care Financ Rev. 1985 Spring;6(3):27-38.
4
The use and costs of Medicare services in the last 2 years of life.临终前两年医疗保险服务的使用情况及费用。
Health Care Financ Rev. 1984 Spring;5(3):117-31.
5
Trends in Tennessee Medicaid acute care: use and expenditures, 1974-1978.田纳西州医疗补助急性护理的趋势:1974 - 1978年的使用情况与支出
Health Care Financ Rev. 1982 Jun;3(4):15-43.
6
The Manitoba longitudinal study on aging: preliminary findings on health care utilization by the elderly.曼尼托巴省老龄化纵向研究:老年人医疗保健利用情况的初步研究结果。
Med Care. 1981 Jun;19(6):644-57. doi: 10.1097/00005650-198106000-00007.
7
Patterns of expenditures among high utilizers of medical care services. The experience of Medicare beneficiaries from 1974 to 1977.医疗服务高利用者的支出模式。1974年至1977年医疗保险受益人的经历。
Med Care. 1984 Feb;22(2):143-9. doi: 10.1097/00005650-198402000-00005.
8
An analysis of the use of Medicare services by the continuously enrolled aged.对持续参保老年人使用医疗保险服务情况的分析。
Med Care. 1983 Jun;21(6):567-85. doi: 10.1097/00005650-198306000-00001.
9
Regression toward the mean in medical care costs. Implications for biased selection in health maintenance organizations.医疗费用的均值回归。对健康维护组织中偏向性选择的影响。
Med Care. 1985 Nov;23(11):1234-41. doi: 10.1097/00005650-198511000-00002.
10
The effect of length of membership upon the utilization of ambulatory care services. A comparison of disadvantaged and general membership populations in a prepaid group practice.
Med Care. 1979 Sep;17(9):922-36. doi: 10.1097/00005650-197909000-00004.