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Redaction of Substance Abuse Claims in Medicare Research Files Affects Spending Outcomes for Nearly One in Five Beneficiaries with Serious Mental Illness.医疗保险研究档案中药物滥用索赔的编辑影响了近五分之一患有严重精神疾病受益人的支出结果。
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4
Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management.医疗保险责任医疗组织的早期努力对精神疾病护理和管理的影响有限。
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State Legal Restrictions and Prescription-Opioid Use among Disabled Adults.成年残疾人的州法律限制与处方阿片类药物使用
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Suppression of Substance Abuse Claims in Medicaid Data and Rates of Diagnoses for Non-Substance Abuse Conditions.医疗补助数据中药物滥用索赔的抑制情况及非药物滥用疾病的诊断率
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7
Protection or harm? Suppressing substance-use data.保护还是伤害?隐瞒物质使用数据。
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长期政策的短期影响:编辑药物滥用数据。

Long-Term Implications Of A Short-Term Policy: Redacting Substance Abuse Data.

机构信息

Andrea M. Austin (

Julie P. W. Bynum is the Margaret Terpenning Collegiate Professor of Medicine in the Division of Geriatrics and Palliative Care; associate director for health policy and research, Geriatric Center; member of the Institute of Health Policy and Innovation; and research professor in the Institute of Gerontology, all at the University of Michigan in Ann Arbor MI.

出版信息

Health Aff (Millwood). 2018 Jun;37(6):975-979. doi: 10.1377/hlthaff.2017.1524.

DOI:10.1377/hlthaff.2017.1524
PMID:29863917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6026323/
Abstract

From 2013 to 2017 the Centers for Medicare and Medicaid Services redacted Medicare claims that included diagnosis or procedure codes related to substance abuse. The redaction policy was in effect as the Affordable Care Act and the opioid epidemic changed the health care landscape. The policy substantially altered prevalence estimates of common chronic conditions that co-occur with substance abuse.

摘要

从 2013 年到 2017 年,医疗保险和医疗补助服务中心删去了医疗保险索赔中与药物滥用相关的诊断或程序代码。该删改政策是在《平价医疗法案》和阿片类药物泛滥改变医疗保健格局的情况下生效的。该政策极大地改变了与药物滥用共病的常见慢性疾病的流行率估计。