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首页> 外文期刊>Journal of NeuroEngineering Rehabilitation >Economic value of orthotic and prosthetic services among medicare beneficiaries: a claims-based retrospective cohort study, 2011–2014
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Economic value of orthotic and prosthetic services among medicare beneficiaries: a claims-based retrospective cohort study, 2011–2014

机译：医疗保险受益人中矫形和假肢服务的经济价值：一项基于索赔的回顾性队列研究，2011-2014年

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BackgroundThere are few studies of the economic value of orthotic and prosthetic services. A prior cohort study of orthotic and prosthetic Medicare beneficiaries based on Medicare Parts A and B claims from 2007 to 2010 concluded that patients who received timely orthotic or prosthetic care had comparable or lower total health care costs than a comparison group of untreated patients. This follow-up study reports on a parallel analysis based on Medicare claims from 2011 to 2014 and includes Part D in addition to Parts A and B services and expenditures. Its purpose is to validate earlier findings on the extent to which Medicare patients who received select orthotic and prosthetic services had less health care utilization, lower Medicare payments, and potentially fewer negative outcomes compared to matched patients not receiving these services. MethodsThis is a retrospective cohort analysis of 78,707 matched pairs of Medicare beneficiaries with clinical need for orthotic and prosthetic services ( N =?157,414) using 2011–2014 Medicare claims data. It uses propensity score matching techniques to control for observable selection bias. Economically, a cost-consequence evaluation over a four-year time horizon was performed. ResultsPatients who received lower extremity orthotics had 18-month episode costs that were $1939 lower than comparable patients who did not receive orthotic treatment ($22,734 vs $24,673). Patients who received spinal orthotic treatment had 18-month episode costs that were $2094 lower than comparable non-treated patients ($23,560 vs $25,655). Study group beneficiaries receiving both types of orthotics had significantly lower Part D spending than those not receiving treatment ( p ConclusionsThese results were consistent with those found in the prior study and suggest that orthotic and prosthetic services provide value to the Medicare program and to the patient.
机译：背景很少有关于矫形和修复服务的经济价值的研究。根据2007年至2010年医疗保险A部分和医疗保险B部分对矫形和假体Medicare受益人进行的先前队列研究得出的结论是，与未接受治疗的对照组患者相比，及时接受矫形或假体治疗的患者的总医疗保健费用相当或更低。这项后续研究报告基于2011年至2014年医疗保险索赔进行的平行分析，除A和B部分的服务和支出外，还包括D部分。其目的是验证较早的发现，与没有接受这些服务的匹配患者相比，接受选择的矫形和修复服务的Medicare患者在医疗保健利用率，Medicare支付较低以及负面结果可能更少的程度上。方法这是一项回顾性队列研究，使用2011-2014年Medicare索赔数据对临床上需要矫形和假肢服务的N对Medicare受益人进行配对（N =？157,414）。它使用倾向得分匹配技术来控制可观察的选择偏差。从经济上讲，在四年的时间范围内进行了成本后果评估。结果接受下肢矫形器治疗的患者的18个月发作费用比未接受矫形器治疗的同类患者低1939美元（22,734美元对24,673美元）。接受脊柱矫形器治疗的患者的18个月发作费用比未治疗的同类患者低$ 2094（$ 23,560 vs $ 25,655）。接受两种矫形器的研究组受益人的D部支出明显低于未接受矫形器的患者（p结论）这些结果与之前的研究结果一致，表明矫形和修复服务为Medicare计划和患者提供了价值。

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