Health Care Use and Spending for Medicaid Enrollees in Federally Qualified Health Centers Versus Other Primary Care Settings.
Health Care Use and Spending for Medicaid Enrollees in Federally Qualified Health Centers Versus Other Primary Care Settings.
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DOI：
10.2105/ajph.2016.303341
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发表时间：
2016-11
影响因子：
12.7
通讯作者：
Huang ES
中科院分区：
文献类型：
--
作者：
Nocon RS;Lee SM;Sharma R;Ngo-Metzger Q;Mukamel DB;Gao Y;White LM;Shi L;Chin MH;Laiteerapong N;Huang ES
在显着增长的背景下，比较联邦合格健康中心与非健康中心环境中医疗补助参与者的医疗保健使用和支出。利用 2009 年 13 个州的按服务付费医疗补助索赔，我们将在联邦合格的卫生中心接受大部分初级保健的患者与在其他环境中接受初级保健的倾向评分匹配的对照组进行了比较。我们发现，与非医疗中心患者相比，医疗中心患者在所有服务方面的使用率和支出均较低，专科护理就诊次数减少 22%，支出减少 33%，住院护理支出减少 25%，住院治疗支出减少 27%。健康中心患者的总支出减少了 24%。我们对 2009 年医疗补助索赔的分析（其中包括最大的州样本和比之前的多州索赔研究更新的数据）表明，健康中心计划为医疗补助参与者提供了具有成本效益的初级保健环境。
To compare health care use and spending of Medicaid enrollees seen at federally qualified health centers versus non–health center settings in a context of significant growth. Using fee-for-service Medicaid claims from 13 states in 2009, we compared patients receiving the majority of their primary care in federally qualified health centers with propensity score–matched comparison groups receiving primary care in other settings. We found that health center patients had lower use and spending than did non–health center patients across all services, with 22% fewer visits and 33% lower spending on specialty care and 25% fewer admissions and 27% lower spending on inpatient care. Total spending was 24% lower for health center patients. Our analysis of 2009 Medicaid claims, which includes the largest sample of states and more recent data than do previous multistate claims studies, demonstrates that the health center program has provided a cost-efficient setting for primary care for Medicaid enrollees.