Quinn Kevin, Kitchener Martin
ACS Government Healthcare Solutions, Helena, MT 59601, USA.
Health Care Financ Rev. 2007 Summer;28(4):69-82.
To illuminate Medicaid's growing role as a health care purchaser, we estimated Medicaid spending and market shares for 30 markets defined by provider category of service. For approximately 15 markets, our estimates are more detailed than the data available from standard sources. Two-thirds of Medicaid spending occurs in markets where the program has a modest market share. The other one-third occurs in markets that Medicaid dominates, especially in the areas of long-term care (LTC), mental retardation, and mental health. We explore the implications of the different roles for payment policy, industry organization, data availability, and quality of care.
为了阐明医疗补助计划作为医疗保健购买者的作用日益增强，我们估算了按服务提供者类别定义的30个市场的医疗补助支出和市场份额。对于大约15个市场，我们的估算比标准来源提供的数据更为详细。三分之二的医疗补助支出发生在该计划市场份额适中的市场。另外三分之一发生在医疗补助占主导地位的市场，尤其是在长期护理、智力迟钝和心理健康领域。我们探讨了这些不同角色对支付政策、行业组织、数据可得性和医疗质量的影响。
