通过减少医疗补助计划与医疗保险支付差异来改善医疗服务可及性：先天性心脏病及其他疾病 - Suppr

Improving access by reducing medicaid-to-medicare payment disparities: congenital heart disease and beyond.

作者信息

Shah Shetal, Brumberg Heather L

机构信息

Division of Neonatology, Department of Pediatrics, Maria Fareri Children's Hospital, New York Medical College, Valhalla, NY, USA.

出版信息

Pediatr Res. 2022 Jun;91(7):1636-1638. doi: 10.1038/s41390-022-02039-2. Epub 2022 Mar 30.

DOI:10.1038/s41390-022-02039-2

PMID:35354933

Abstract

摘要

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Improving access by reducing medicaid-to-medicare payment disparities: congenital heart disease and beyond.通过减少医疗补助计划与医疗保险支付差异来改善医疗服务可及性：先天性心脏病及其他疾病

Pediatr Res. 2022 Jun;91(7):1636-1638. doi: 10.1038/s41390-022-02039-2. Epub 2022 Mar 30.

The role of public policy in the care of patients with adult congenital heart disease.公共政策在成人先天性心脏病患者护理中的作用。

Congenit Heart Dis. 2007 Sep-Oct;2(5):354-8. doi: 10.1111/j.1747-0803.2007.00126.x.

Disparity in Medicaid physician payments for vascular surgery.医疗补助计划中血管外科医生薪酬的差异。

J Vasc Surg. 2018 Dec;68(6):1946-1953. doi: 10.1016/j.jvs.2018.03.422. Epub 2018 Jul 29.

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices. Final rule.医疗保险计划；急性护理医院的住院病人前瞻性支付系统以及长期护理医院前瞻性支付系统和政策变更与2018财年费率；特定提供者的质量报告要求；符合条件的医院、临界接入医院和符合条件的专业人员的医疗保险和医疗补助电子健康记录（EHR）激励计划要求；印第安卫生服务机构以及部落设施与组织的基于提供者的地位；成本报告和提供者要求；协议终止通知。最终规则。

Fed Regist. 2017 Aug 14;82(155):37990-8589.

Payment Reform and Health Disparities: Changes in Dialysis Modality under the New Medicare Dialysis Payment System.支付方式改革与健康不平等：新 Medicare 透析支付体系下透析模式的变化。

Health Serv Res. 2018 Jun;53(3):1430-1457. doi: 10.1111/1475-6773.12713. Epub 2017 May 30.

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2019 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims. Final rule.医疗保险计划；急性护理医院的住院病人前瞻性支付系统以及长期护理医院前瞻性支付系统和政策变更与2019财年费率；特定提供者的质量报告要求；医疗保险和医疗补助电子健康记录（EHR）激励计划（促进互操作性计划）对合格医院、临界接入医院和合格专业人员的要求；医疗保险成本报告要求；以及医师对索赔的认证和重新认证。最终规则。

Fed Regist. 2018 Aug 17;83(160):41144-784.

Medicare and Medicaid physician payment incentives.医疗保险和医疗补助计划对医生的支付激励措施。

Health Care Financ Rev. 1979 Summer;1(1):62-78.

Associations Between the Patient Protection and Affordable Care Act Medicaid Primary Care Payment Increase and Physician Participation in Medicaid.《平价医疗法案》中医疗补助初级保健支付增加与医师参与医疗补助之间的关联。

JAMA Intern Med. 2018 Aug 1;178(8):1042-1048. doi: 10.1001/jamainternmed.2018.2610.

Does Medicaid coverage of Medicare cost sharing affect physician care for dual-eligible Medicare beneficiaries?医疗补助覆盖医疗保险共付额是否会影响双重资格的医疗保险受益人的医生护理？

Health Serv Res. 2021 Jun;56(3):528-539. doi: 10.1111/1475-6773.13650. Epub 2021 Mar 28.

Insurance access in adults with congenital heart disease in the Affordable Care Act era.《平价医疗法案》时代先天性心脏病成人患者的保险覆盖情况。

Congenit Heart Dis. 2018 May;13(3):384-391. doi: 10.1111/chd.12582. Epub 2018 Feb 26.

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Impact of Social Determinants of Health on Outcomes for Patients with Adult Congenital Heart Disease.社会决定因素对成人先天性心脏病患者结局的影响。

Curr Cardiol Rep. 2024 Jun;26(6):539-544. doi: 10.1007/s11886-024-02059-w. Epub 2024 Apr 13.

Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States.美国少数族裔人群中儿童及成人先天性心脏病护理的健康公平性与政策考量

J Cardiovasc Dev Dis. 2024 Jan 25;11(2):36. doi: 10.3390/jcdd11020036.

本文引用的文献

Which physicians limit their Medicaid participation, and why.哪些医生限制他们参与医疗补助计划，原因是什么。

Health Serv Res. 1995 Apr;30(1):7-26.

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Improving access by reducing medicaid-to-medicare payment disparities: congenital heart disease and beyond.

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