提高医疗保险付费服务提供者对鼓膜内注射的利用率。

IF 1.9 3区 医学 Q3 CLINICAL NEUROLOGY
Otology & Neurotology Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI:10.1097/MAO.0000000000004337
Rance J T Fujiwara, Donald Tan, Joe Walter Kutz
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引用次数: 0

摘要

目的:描述全国医疗保险提供者的耳内注射实践模式和地域差异:研究设计:研究设计:对 2013 年至 2021 年期间在医疗保险付费服务人群中进行的鼓膜内注射进行回顾性横断面分析:医疗保险和医疗补助服务中心医生和其他从业人员数据库:进行门诊耳内注射的医疗服务提供者,以当前程序术语代码 69801 记录:主要结果测量指标:主要结果测量指标:每年分析各医疗机构、各州和各地理区域进行的耳内注射次数以及报销情况:结果:共进行了 159,236 次诊室耳内注射。医疗保险与医疗补助服务中心报销了 25,407,086 美元;患者自付费用为 6,591,514 美元。每次注射的平均医疗保险报销比例和自付费用分别为 159.56 美元和 41.38 美元。从 2013 年到 2021 年,耳内注射次数从 13,117 次增加到 20,711 次,增幅为 57.9%。根据线性回归,每年新增 989.9 次注射(95% CI 766.4-1,213.4, p < 0.001)。从 2013 年到 2021 年,实施注射的医疗服务提供者人数也从 1828 人增加到 2834 人(b = 125.6 [95% CI 111.3-140.0],p < 0.001)。美国各地人口控制的年平均注射次数差异很大,从俄克拉荷马州每 100,000 名受益人注射 12.0 次到阿拉巴马州每 100,000 名受益人注射 255.2 次不等:结论:从 2013 年到 2021 年,医疗保险人群的耳内注射次数有所增加。美国耳鼻喉科医生的实践模式和鼓室内注射的使用情况存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing Utilization of Intratympanic Injections among Medicare Fee-for-Service Providers.

Objective: To characterize national practice patterns and geographic variations in intratympanic injections among Medicare providers.

Study design: Retrospective cross-sectional analysis of intratympanic injections performed in the Medicare fee-for-service population from 2013 to 2021.

Setting: Center for Medicare & Medicaid Services Physician and Other Practitioners database.

Participants: Providers performing outpatient intratympanic injections, documented by Current Procedural Terminology code 69801.

Interventions: Intratympanic injections.

Main outcome measures: The number of intratympanic injections performed by individual providers, states, and geographic regions, as well as reimbursements, was analyzed annually.

Results: A total of 159,236 in-office intratympanic injections were performed. The Center for Medicare & Medicaid Services reimbursed $25,407,086; out-of-pocket patient costs were $6,591,514. The mean Medicare reimbursement rate and out-of-pocket cost per injection were $159.56 and $41.38, respectively. From 2013 to 2021, the number of intratympanic injections increased from 13,117 to 20,711 injections, representing a 57.9% increase. On linear regression, an additional 989.9 injections were performed each year (95% CI 766.4-1,213.4, p < 0.001). The number of providers performing injections also increased from 1,828 to 2,834 from 2013 to 2021 ( b = 125.6 [95% CI 111.3-140.0], p < 0.001). The population-controlled annual mean number of injections varied substantially across the United States, ranging from 12.0 injections per 100,000 beneficiaries in Oklahoma to 255.2 injections per 100,000 beneficiaries in Alabama.

Conclusions: The number of intratympanic injections administered in the Medicare population has increased from 2013 to 2021. There is variability in practice patterns and utilization of intratympanic injections among otolaryngologists in the United States.

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来源期刊
Otology & Neurotology
Otology & Neurotology 医学-耳鼻喉科学
CiteScore
3.80
自引率
14.30%
发文量
509
审稿时长
3-6 weeks
期刊介绍: ​​​​​Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.
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