Uptake of the centers for medicare and medicaid obesity benefit: 2012-2013.

Uptake of the centers for medicare and medicaid obesity benefit: 2012-2013.
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DOI:
10.1002/oby.21578
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发表时间:
2016-09
期刊:
影响因子:
6.9
通讯作者:
Bynum, Julie P. W.
Bynum, Julie P. W.
中科院分区:
医学2区
文献类型:
--
作者:
Batsis, John A.;Bynum, Julie P. W.

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评估由执业医师或助理提供者在老年人门诊环境中使用Medicare肥胖保险福利(MOB)的情况。我们对2012年和2013年的按服务付费医疗保险索赔进行了一系列横断面分析,以评估MOB的使用情况。对65岁以上使用该福利的医疗保险受益人的人数和比例进行了评估。根据行为危险因素监测系统的州特异性肥胖患病率数据,确定州肥胖率与MOB摄入量之间的相关性。2012年有27,338名(0.10%)65岁以上的医疗保险受益人使用MOB,2013年略有增加(n= 46,821 [0.17%])。这两年MOB使用者的平均年龄为73岁,62%为女性。随着年龄的增长,使用率下降,东北部最高,中西部最低。高状态肥胖患病率与较高的MOB摄入量无关。连续几年使用MOB的肥胖人群估计比例分别为0.35%和0.60%。我们观察到平均1.99和2.16索赔/MOB用户。虽然MOB的使用率在其实施的第二个整年有所增加,但很少有人利用这一好处。
To assess the use of the Medicare Obesity coverage benefit (MOB) by a licensed physician or associate provider in an outpatient setting in older adults. We used a serial cross-sectional analysis of fee-for-service Medicare claims (2012 and 2013) to assess the use of the MOB. Number and proportion of Medicare beneficiaries over age 65 using the benefit were assessed. Correlation between state-obesity rates and MOB uptake was determined based on state-specific obesity prevalence data from the Behavioral Risk Factor Surveillance System. There were 27,338 (0.10%) Medicare beneficiaries over age 65 in 2012 using the MOB, slightly more in 2013 (n=46,821 [0.17%]). Mean age of MOB users in both years was 73 years and 62% were females. Use declined with older age and was highest in the Northeast and lowest in the Midwest. High state obesity prevalence was not correlated with higher uptake of the MOB. Estimated proportion of persons with obesity using the MOB was 0.35% and 0.60% in successive years. We observed a mean of 1.99 and 2.16 claims/MOB user. While the rate of MOB use increased in the second full year of its implementation, few are availing themselves of this benefit.
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