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2018 年 Medicare Advantage 和传统 Medicare 中的家庭医疗保健使用情况。

Home-Based Medical Care Use In Medicare Advantage And Traditional Medicare In 2018.

机构信息

Jeffrey Marr (

Christine Ritchie, Massachusetts General Hospital and Harvard University, Boston, Massachusetts.

出版信息

Health Aff (Millwood). 2023 Sep;42(9):1198-1202. doi: 10.1377/hlthaff.2023.00376.

DOI:10.1377/hlthaff.2023.00376
PMID:37669486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10947452/
Abstract

The use of home-based medical care differed in Medicare Advantage and traditional Medicare in 2018. Having exactly one such visit was thirty-one times as likely for Medicare Advantage beneficiaries (18.6 percent) as for traditional Medicare beneficiaries (0.6 percent), likely reflecting incentives in the Medicare Advantage program to code all accurate diagnoses. Multiple home-based medical care visits were less likely in Medicare Advantage than in traditional Medicare (1.6 percent versus 2.1 percent of beneficiaries, respectively).

摘要

2018 年,家庭医疗在医疗保险优势计划和传统医疗保险中的使用情况有所不同。医疗保险优势计划的受益人(18.6%)接受一次这样的访问的可能性是传统医疗保险受益人的(0.6%)的 31 倍,这可能反映了医疗保险优势计划中对所有准确诊断进行编码的激励措施。医疗保险优势计划中接受多次家庭医疗访问的可能性低于传统医疗保险(分别为 1.6%和 2.1%的受益人)。

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本文引用的文献

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J Am Med Dir Assoc. 2022 Oct;23(10):1614-1620.e10. doi: 10.1016/j.jamda.2022.06.014.
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Outcomes of home-based primary care for homebound older adults: A randomized clinical trial.
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J Am Geriatr Soc. 2023 Feb;71(2):443-454. doi: 10.1111/jgs.17999. Epub 2022 Aug 20.
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Implementation of resource use measures in Medicare Advantage.医疗保险优势计划中的资源利用措施的实施。
Health Serv Res. 2022 Aug;57(4):957-962. doi: 10.1111/1475-6773.13970. Epub 2022 Apr 11.
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