Stanford Center for Health Policy, Encina Commons, 615 Crothers Way, Stanford, CA 94305, United States.
J Health Econ. 2022 Jan;81:102574. doi: 10.1016/j.jhealeco.2021.102574. Epub 2021 Dec 27.
The patient-provider relationship is considered a cornerstone to delivering high-value healthcare. However, in Medicaid managed care settings, disruptions to this relationship are disproportionately common. In this paper, I evaluate the impact of a primary provider's exit from a Medicaid managed care plan on adult beneficiary healthcare utilization and outcomes. Using an event study approach, I estimate a 5% decrease in the number of beneficiaries with primary care visits in the year following the exit, with slightly larger effects in terms of percentage points for patients with chronic conditions. Additionally, I observe a nearly 50% increase in the number of beneficiaries with a chronic condition who are hospitalized following a disruption.
医患关系被认为是提供高价值医疗保健的基石。然而，在医疗补助管理式医疗服务环境中，这种关系的中断却异常普遍。本文评估了初级保健提供者退出医疗补助管理式医疗服务计划对成年受益人的医疗保健利用和结果的影响。我采用事件研究方法，估计在离职后的一年中，接受初级保健的受益人的数量减少了 5%，而慢性病患者的比例则略大。此外，我观察到，在出现这种中断后，慢性病患者的住院人数增加了近 50%。
