RESUMO
This study examines state Medicaid coverage policies for antiobesity medications and their trends in Medicaid reimbursement from 2011 to 2022.
Assuntos
Fármacos Antiobesidade , Agonistas do Receptor do Peptídeo 1 Semelhante ao Glucagon , Cobertura do Seguro , Reembolso de Seguro de Saúde , Medicaid , Humanos , Fármacos Antiobesidade/economia , Fármacos Antiobesidade/uso terapêutico , Agonistas do Receptor do Peptídeo 1 Semelhante ao Glucagon/economia , Agonistas do Receptor do Peptídeo 1 Semelhante ao Glucagon/uso terapêutico , Cobertura do Seguro/economia , Cobertura do Seguro/estatística & dados numéricos , Cobertura do Seguro/tendências , Reembolso de Seguro de Saúde/economia , Reembolso de Seguro de Saúde/estatística & dados numéricos , Reembolso de Seguro de Saúde/tendências , Medicaid/economia , Medicaid/estatística & dados numéricos , Medicaid/tendências , Governo Estadual , Estados Unidos/epidemiologiaAssuntos
Cobertura do Seguro , Medicaid , Medicare , Mortalidade , Humanos , Cobertura do Seguro/economia , Cobertura do Seguro/legislação & jurisprudência , Cobertura do Seguro/estatística & dados numéricos , Cobertura do Seguro/tendências , Medicaid/economia , Medicaid/legislação & jurisprudência , Medicaid/estatística & dados numéricos , Medicaid/tendências , Medicare/economia , Medicare/legislação & jurisprudência , Medicare/estatística & dados numéricos , Medicare/tendências , Mortalidade/tendências , Estados Unidos/epidemiologiaRESUMO
Musculoskeletal urgent care centers (MUCCs) are an increasingly common alternative to emergency departments for patients with orthopedic injuries. As there is a lack of longitudinal data regarding MUCCs' impact on the emergency health care system, our study seeks to understand recent trends in MUCC growth and their acceptance of Medicaid insurance. Over the last 6 years, at 2-year intervals (2019, 2021, and 2023), we performed a search to identify all MUCCs in the United States. We determined the affiliation and Medicaid acceptance status of all MUCCs, including those that closed/opened between 2019, 2021, and 2023, to analyze trends in MUCC availability and Medicaid acceptance. In 2019, there were 558 MUCCs, which increased to 596 MUCCs in 2021 and then decreased to 555 MUCCs in 2023, representing a growth and then decline of approximately 7%. Overall, since June 2019, 90 MUCCs have opened and 95 MUCCs have closed. Medicaid acceptance increased nationally between 2019 and 2023, from 58% to 71%. Medicaid acceptance increased for both nonaffiliated and privately affiliated MUCCs. Medicaid acceptance has increased nationally from 2019 to 2023, while MUCC availability has gone through a period of growth and then reversion to 2019 levels. As MUCCs have demonstrated limited Medicaid acceptance previously, it is promising that Medicaid acceptance has improved and MUCCs are providing patients with an additional avenue to access orthopedic care.