{"title":"医疗保险支付：慢性病有多重要？","authors":"Erkan Erdem, Sergio I Prada, Samuel C Haffer","doi":"10.5600/mmrr.003.02.b02","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Analyze differences in Medicare Fee-for-Service utilization (i.e., program payments) by beneficiary characteristics, such as gender, age, and prevalence of chronic conditions.</p><p><strong>Methods: </strong>Using the 2008 and 2010 Chronic Conditions Public Use Files, we conduct a descriptive analysis of enrollment and program payments by gender, age categories, and eleven chronic conditions.</p><p><strong>Results: </strong>We find that the effect of chronic conditions on Medicare payments is dramatic. Average Medicare payments increase significantly with the number of chronic conditions. Finally, we quantify the effect of individual conditions and find that \"Stroke / Transient Ischemic Attack\" and \"Chronic Kidney Disease\" are the costliest chronic conditions for Part A, and \"Cancer\" and \"Chronic Kidney Disease\" are the costliest for Part B.</p>","PeriodicalId":89601,"journal":{"name":"Medicare & medicaid research review","volume":"3 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2013-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983726/pdf/mmrr2013-003-02-b02.pdf","citationCount":"0","resultStr":"{\"title\":\"Medicare payments: how much do chronic conditions matter?\",\"authors\":\"Erkan Erdem, Sergio I Prada, Samuel C Haffer\",\"doi\":\"10.5600/mmrr.003.02.b02\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Analyze differences in Medicare Fee-for-Service utilization (i.e., program payments) by beneficiary characteristics, such as gender, age, and prevalence of chronic conditions.</p><p><strong>Methods: </strong>Using the 2008 and 2010 Chronic Conditions Public Use Files, we conduct a descriptive analysis of enrollment and program payments by gender, age categories, and eleven chronic conditions.</p><p><strong>Results: </strong>We find that the effect of chronic conditions on Medicare payments is dramatic. Average Medicare payments increase significantly with the number of chronic conditions. Finally, we quantify the effect of individual conditions and find that \\\"Stroke / Transient Ischemic Attack\\\" and \\\"Chronic Kidney Disease\\\" are the costliest chronic conditions for Part A, and \\\"Cancer\\\" and \\\"Chronic Kidney Disease\\\" are the costliest for Part B.</p>\",\"PeriodicalId\":89601,\"journal\":{\"name\":\"Medicare & medicaid research review\",\"volume\":\"3 2\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-06-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983726/pdf/mmrr2013-003-02-b02.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicare & medicaid research review\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5600/mmrr.003.02.b02\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2013/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicare & medicaid research review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5600/mmrr.003.02.b02","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2013/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目标：分析医疗保险付费服务利用率（即计划付款）与受益人特征（如性别、年龄和慢性病患病率）的差异：根据受益人的特征，如性别、年龄和慢性病患病率，分析医疗保险付费服务利用率（即计划支付）的差异：利用 2008 年和 2010 年慢性病公共使用档案，我们按性别、年龄类别和 11 种慢性病对参保情况和计划支付进行了描述性分析：结果：我们发现慢性病对医疗保险支付的影响是巨大的。随着慢性病数量的增加，医疗保险的平均支付额也大幅增加。最后，我们对个别病症的影响进行了量化，发现 "中风/短暂性脑缺血发作 "和 "慢性肾病 "是 A 部分费用最高的慢性病，而 "癌症 "和 "慢性肾病 "是 B 部分费用最高的慢性病。
Medicare payments: how much do chronic conditions matter?
Objective: Analyze differences in Medicare Fee-for-Service utilization (i.e., program payments) by beneficiary characteristics, such as gender, age, and prevalence of chronic conditions.
Methods: Using the 2008 and 2010 Chronic Conditions Public Use Files, we conduct a descriptive analysis of enrollment and program payments by gender, age categories, and eleven chronic conditions.
Results: We find that the effect of chronic conditions on Medicare payments is dramatic. Average Medicare payments increase significantly with the number of chronic conditions. Finally, we quantify the effect of individual conditions and find that "Stroke / Transient Ischemic Attack" and "Chronic Kidney Disease" are the costliest chronic conditions for Part A, and "Cancer" and "Chronic Kidney Disease" are the costliest for Part B.
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