{"id":435110,"date":"2025-07-02T10:18:22","date_gmt":"2025-07-02T10:18:22","guid":{"rendered":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/?p=435110"},"modified":"2026-03-27T08:51:55","modified_gmt":"2026-03-27T08:51:55","slug":"new-enrollment-data-shows-health-insurance-disruption","status":"publish","type":"post","link":"https:\/\/www.clarivate.com.cn\/life-sciences-healthcare\/blog\/new-enrollment-data-shows-health-insurance-disruption\/","title":{"rendered":"\u65b0\u7684\u53c2\u4fdd\u6570\u636e\u663e\u793a\uff0c\u968f\u7740\u51fa\u73b0\u66f4\u591a\u4e0d\u786e\u5b9a\u6027\uff0c\u5065\u5eb7\u4fdd\u9669\u5e02\u573a\u51fa\u73b0\u52a8\u8361"},"content":{"rendered":"<p>Clarivate \u53d1\u5e03\u7684 Managed Market Surveyor \u6570\u636e\u53cd\u6620\u4e86\u622a\u81f3 2025 \u5e74 1 \u6708\u53c2\u4fdd\u60c5\u51b5\uff0c\u6570\u636e\u663e\u793a\uff0c\u7f8e\u56fd\u5065\u5eb7\u4fdd\u9669\u884c\u4e1a\u7684\u79c1\u8425\u548c\u516c\u5171\u90e8\u95e8\u90fd\u6b63\u5728\u7ecf\u5386\u52a8\u8361\u3002<\/p>\n<p>\u53c2\u4fdd\u60c5\u51b5\u7684\u53d8\u5316\u6b63\u5728\u5f71\u54cd\u6570\u767e\u4e07\u7f8e\u56fd\u4eba\u7684\u5065\u5eb7\u798f\u5229\u548c\u533b\u7597\u670d\u52a1\u7684\u53ef\u53ca\u6027\uff0c\u672a\u6765\u53ef\u80fd\u51fa\u73b0\u66f4\u591a\u52a8\u8361\u3002<\/p>\n<h3><strong>\u533b\u4fdd\u4ea4\u6613\u6240\u53c2\u4fdd\u4eba\u6570\u589e\u957f\uff0c\u4f46\u589e\u957f\u51fa\u73b0\u963b\u529b<\/strong><\/h3>\n<p>\u5728\u516c\u5171\u5065\u5eb7\u4fdd\u9669\u533b\u4fdd\u4ea4\u6613\u6240\u5e02\u573a\uff0c\u622a\u81f3 2025 \u5e74 1 \u6708\uff0c\u53c2\u4fdd\u4eba\u6570\u5728\u8fc7\u53bb\u516d\u4e2a\u6708\u4e2d\u81f3\u5c11\u589e\u957f\u4e86 220 \u4e07\uff08\u7ea6 11%\uff09\uff0c\u76f8\u6bd4\u4e8e\u53bb\u5e74\u81f3\u5c11\u589e\u957f\u4e86 270 \u4e07\uff08\u7ea6 14%\uff09\u3002<\/p>\n<p>Centene \u5728\u8fd9\u4e00\u589e\u957f\u4e2d\u5360\u636e\u4e86\u5f88\u5927\u4efd\u989d\uff0c\u5176\u5728\u8fc7\u53bb\u516d\u4e2a\u6708\u4e2d\u589e\u52a0\u4e86\u8d85\u8fc7 100 \u4e07\u7684\u533b\u4fdd\u4ea4\u6613\u6240\u53c2\u4fdd\u4eba\uff0c\u5e76\u6269\u5c55\u5230 Iowa \u7684\u4fdd\u9669\u5e02\u573a\u3002<\/p>\n<p>\u4f46\u533b\u4fdd\u4ea4\u6613\u6240\u7684\u53c2\u4fdd\u4eba\u6570\u589e\u957f\u53ef\u80fd\u662f\u77ed\u6682\u7684\uff0c\u9664\u975e\u56fd\u4f1a\u5ef6\u957f\u5f3a\u5316\u533b\u4fdd\u4ea4\u6613\u6240\u4fdd\u8d39\u8865\u8d34\uff0c\u8be5\u8865\u8d34\u4e8e 2026 \u5e74\u5230\u671f\u3002<\/p>\n<p>\u7f8e\u56fd\u536b\u751f\u4e0e\u516c\u4f17\u670d\u52a1\u90e8\uff08HHS\uff09\u6700\u8fd1\u8fd8\u524a\u51cf\u4e86\u533b\u4fdd\u4ea4\u6613\u6240\u5bfc\u822a\u5458\u8d44\u91d1\uff0c\u7f29\u77ed\u4e86\u5f00\u653e\u53c2\u4fdd\u671f\uff0c\u53d6\u6d88\u4e86\u4f4e\u6536\u5165\u4eba\u7fa4\u7684\u5168\u5e74\u53c2\u4fdd\u8d44\u683c\uff0c\u5e76\u5236\u5b9a\u4e86\u65b0\u9650\u5236\uff0c\u8fd9\u4e9b\u9650\u5236\u53ef\u80fd\u4f7f\u53c2\u4fdd\u66f4\u52a0\u56f0\u96be\uff08HHS \u65b0\u95fb\u7a3f\uff0c2025 \u5e74 2 \u6708 14 \u65e5\uff09\u3002<\/p>\n<p>CVS\/Aetna \u5728 2025 \u5e74 5 \u6708\u5ba3\u5e03\uff0c\u5728\u8be5\u7ec6\u5206\u5e02\u573a\u8fde\u7eed\u591a\u5e74\u4e8f\u635f\u540e\uff0c\u516c\u53f8\u5c06\u4e8e 2026 \u5e74\u505c\u6b62\u53c2\u4e0e\u533b\u4fdd\u4ea4\u6613\u6240\u3002\u9274\u4e8e\u5f53\u524d\u7f8e\u56fd\u653f\u5e9c\u9886\u5bfc\u4e0b\u5e02\u573a\u524d\u666f\u4e0d\u65ad\u53d8\u5316\uff0c\u5176\u4ed6\u516c\u53f8\u53ef\u80fd\u4e5f\u4f1a\u6548\u4eff\u3002Aetna \u5728 Kansas City \u7b49\u4e00\u4e9b\u533b\u4fdd\u4ea4\u6613\u6240\u5e02\u573a\u66fe\u662f\u6700\u6709\u7ade\u4e89\u529b\u7684\u516c\u53f8\u3002<\/p>\n<h3><strong>\u5546\u4e1a\u5168\u989d\u4fdd\u9669\u53c2\u4fdd\u4eba\u6570\u4e0b\u964d<\/strong><\/h3>\n<p>\u9664\u533b\u4fdd\u4ea4\u6613\u6240\u53c2\u4fdd\u5916\uff0c\u622a\u81f3 2025 \u5e74 1 \u6708\uff0c\u5168\u989d\u4fdd\u9669\u53c2\u4fdd\u4eba\u6570\u51cf\u5c11\u4e86\u8d85\u8fc7 200 \u4e07\uff0c\u5c3d\u7ba1\u81ea\u4fdd\u53c2\u4fdd\u4eba\u6570\u6709\u6240\u589e\u52a0\uff0c\u5065\u5eb7\u4fdd\u9669\u516c\u53f8\u7684\u5546\u4e1a\u4f1a\u5458\u4eba\u6570\u5728\u8fc7\u53bb\u516d\u4e2a\u6708\u4e2d\u4ecd\u6709\u6240\u4e0b\u964d\u3002<\/p>\n<p>\u6839\u636e\u62a5\u544a\uff0cAetna \u81ea\u4fdd\u53c2\u4fdd\u4eba\u6570\u589e\u957f\u6700\u5927\uff0c\u800c UnitedHealthcare\u3001Cigna\u548cHealth Care Service Corporation \u7684\u53c2\u4fdd\u4eba\u6570\u4e5f\u6709\u6240\u589e\u52a0\u3002<\/p>\n<p>\u5065\u5eb7\u4fdd\u9669\u516c\u53f8\u4e4b\u95f4\u7684\u5e02\u573a\u4efd\u989d\u4e5f\u56e0 Arizona\u3001Idaho \u548c California \u7b49\u591a\u4e2a\u5730\u533a\u7684\u5dde\u653f\u5e9c\u96c7\u5458\u5065\u5eb7\u8ba1\u5212\u53d8\u66f4\u800c\u53d7\u5230\u5f71\u54cd\u3002<\/p>\n<h3><strong>\u8054\u90a6\u533b\u7597\u4fdd\u9669\uff08<\/strong><strong>Medicare<\/strong><strong>\uff09\u53c2\u4fdd\u8d8b\u52bf\u4e2d\u65ad<\/strong><\/h3>\n<p>\u5728\u8d8b\u52bf\u9006\u8f6c\u7684\u60c5\u51b5\u4e0b\uff0cMedicare \u6309\u670d\u52a1\u6536\u8d39\uff08FFS\uff09\u7684\u53c2\u4fdd\u4eba\u6570\u663e\u8457\u589e\u957f\uff0c\u5e76\u8d85\u8fc7\u4e86\u8054\u90a6\u533b\u7597\u4fdd\u9669\u4f18\u52bf\u8ba1\u5212\uff08MA\uff09\u7684\u589e\u957f\u3002\u4ece 2024 \u5e74 7 \u6708\u5230 2025 \u5e74 1 \u6708\uff0cFFS \u53c2\u4fdd\u4eba\u6570\u589e\u957f\u4e86\u7ea6 49 \u4e07\u4eba\uff0c\u800c MA \u8ba1\u5212\u589e\u52a0\u4e86\u7ea6 28.4 \u4e07\u4eba\u3002<\/p>\n<p>\u8fd9\u4e0e\u591a\u5e74\u6765 FFS \u53c2\u4fdd\u4eba\u6570\u7a33\u6b65\u4e0b\u964d\u7684\u8d8b\u52bf\u5f62\u6210\u5bf9\u6bd4\uff0c\u800c MA \u53c2\u4fdd\u4eba\u6570\u5219\u5f3a\u52b2\u589e\u957f\uff0c\u56e0\u4e3a\u5a74\u513f\u6f6e\u4e00\u4ee3\u8fdb\u5165\u8be5\u8ba1\u5212\u7684\u5e74\u9f84\uff0cMedicare \u7684\u603b\u4eba\u53e3\u6301\u7eed\u6269\u5927\u3002<\/p>\n<p>\u8fd1\u671f MA \u53c2\u4fdd\u4eba\u6570\u589e\u957f\u653e\u7f13\u53ef\u80fd\u7531\u591a\u79cd\u56e0\u7d20\u9020\u6210\uff1a\u4fdd\u9669\u8d39\u6c34\u5e73\u3001\u81ea\u4ed8\u8d39\u7528\u548c\u6709\u9650\u7684\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u65b9\u7f51\u7edc\u3002\u8fd9\u4e9b\u56e0\u7d20\u53ef\u80fd\u81f3\u5c11\u90e8\u5206\u6e90\u4e8e\u653f\u5e9c\u7684\u653f\u7b56\u51b3\u7b56\uff0c\u8fd9\u4e9b\u51b3\u7b56\u7ed9 MA \u4fdd\u9669\u516c\u53f8\u5e26\u6765\u4e86\u65b0\u7684\u8d22\u52a1\u6311\u6218\uff0c\u800c\u4fdd\u9669\u516c\u53f8\u5219\u8c03\u6574\u63d0\u4f9b\u7ed9 Medicare \u53c2\u4fdd\u4eba\u7684\u8ba1\u5212\u7684\u6210\u672c\u548c\u798f\u5229\uff0c\u4ece\u800c\u5e94\u5bf9\u8fd9\u4e00\u6311\u6218\u3002<\/p>\n<p>\u7531\u4e8e\u65b0\u7684\u6cd5\u89c4\u548c\u4f7f\u7528\u8d8b\u52bf\u4f7f\u5c0f\u578b\u8ba1\u5212\u5728\u8d22\u52a1\u4e0a\u96be\u4ee5\u7ef4\u6301\uff0cMA \u7ec6\u5206\u5e02\u573a\u5185\u7684\u6574\u5408\u6b63\u5728\u52a0\u5267\u3002\u5c3d\u7ba1\u4e3b\u8981\u7684 MA \u4fdd\u9669\u516c\u53f8\u6700\u8fd1\u56e0\u533b\u7597\u4f7f\u7528\u7387\u63d0\u9ad8\u4ee5\u53ca Medicare \u652f\u4ed8\u548c\u8d28\u91cf\u5956\u91d1\u65b9\u6cd5\u7684\u53d8\u66f4\u800c\u9762\u4e34\u81ea\u8eab\u7684\u56f0\u5883\uff0c\u4f46\u9884\u8ba1\u4e0a\u8ff0\u6574\u5408\u8d8b\u52bf\u5c06\u5728 2026 \u5e74\u5f00\u653e\u53c2\u4fdd\u671f\u95f4\u6301\u7eed\u3002<\/p>\n<p>\u5305\u62ec Blue Cross Blue Shield \u4fdd\u9669\u516c\u53f8\u7684\u8ba1\u5212\u5728\u5185\u7684\u8bb8\u591a\u533a\u57df\u6027 MA \u8ba1\u5212\u5df2\u7ecf\u9000\u51fa\u4e86\u8be5\u7ec6\u5206\u5e02\u573a\uff0c\u4f46\u8fd9\u4e9b\u9000\u51fa\u7684\u4fdd\u9669\u516c\u53f8\u5e76\u4e0d\u5305\u62ec\u4e3b\u8981\u7684\u5e02\u573a\u53c2\u4e0e\u8005\u3002\u8fd9\u4e9b\u5927\u578b\u516c\u53f8\u66f4\uff0c\u503e\u5411\u4e8e\u5e02\u573a\u6536\u7f29\u6216\u9500\u552e\u8f83\u5c11\u7684\u8ba1\u5212\u8bbe\u8ba1\uff0c\u800c\u4e0d\u662f\u5b8c\u5168\u9000\u51fa\u5e02\u573a\u3002<\/p>\n<h3><strong>\u533b\u7597\u8865\u52a9\u8ba1\u5212\uff08<\/strong><strong>Medicaid<\/strong><strong>\uff09\u53c2\u4fdd\u4eba\u6570\u6301\u7eed\u6536\u7f29\uff0c\u5e76\u53ef\u80fd\u52a0\u901f<\/strong><\/h3>\n<p>\u5728 Medicaid \u9886\u57df\uff0c\u53c2\u4fdd\u4eba\u6570\u4e0b\u964d\u7684\u8d8b\u52bf\u4ecd\u5728\u7ee7\u7eed\uff0c\u4e4b\u524d\u5404\u5dde\u53d6\u6d88\u5728 COVID-19 \u75ab\u60c5\u671f\u95f4\u5b9e\u65bd\u7684\u8fde\u7eed\u53c2\u4fdd\u89c4\u5b9a\uff0c\u4e0e\u7531\u6b64\u5f15\u53d1\u7684\u6025\u5267\u4e0b\u964d\u901f\u5ea6\u76f8\u6bd4\uff0c\u5f53\u524d\u4e0b\u964d\u8d8b\u52bf\u5df2\u663e\u8457\u653e\u7f13\u3002<\/p>\n<p>\u622a\u81f3 2025 \u5e74 1 \u6708\uff0cMedicaid \u53c2\u4fdd\u4eba\u6570\u5728\u8fc7\u53bb\u516d\u4e2a\u6708\u4e2d\u51cf\u5c11\u4e86\u7ea6 53.7 \u4e07\uff0c\u964d\u5e45\u4e0d\u5230 1%\u3002<\/p>\n<p>Medicaid \u53c2\u4fdd\u4eba\u6570\u663e\u8457\u4e0b\u964d\u7684\u5dde\u5305\u62ec Arizona\u3001Maryland\u3001Florida\u3001Indiana \u548c Georgia\uff0c\u800c New York \u548c North Carolina \u7684\u53c2\u4fdd\u4eba\u6570\u56e0\u6269\u5f20\u4e3e\u63aa\u800c\u589e\u52a0\u3002<\/p>\n<p><em>\u4e86\u89e3\u66f4\u591a\u5173\u4e8e <\/em><a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/commercialization\/market-access\/managed-market-surveyor-suite\/\" target=\"_blank\" rel=\"noopener\"><em>Clarivate Managed Market Surveyor Suite<\/em><\/a><em>\u00a0\u5982\u4f55\u5e2e\u52a9\u751f\u547d\u79d1\u5b66\u516c\u53f8\u4ee5\u6700\u5168\u9762\u7684\u7ba1\u7406\u5e02\u573a\u683c\u5c40\u89c6\u89d2\u4fdd\u62a4\u5176\u7f8e\u56fd\u5546\u4e1a\u7b56\u7565\uff0c\u5e76\u5229\u7528\u51c6\u786e\u7684<\/em><a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/lp\/trusted-insights-with-managed-market-surveyor-mms-pharmacy-benefit-evaluator\/\" target=\"_blank\" rel=\"noopener\"><em>\u7f8e\u56fd\u7ba1\u7406\u5f0f\u533b\u7597\u53c2\u4fdd\u6570\u636e<\/em><\/a><em>\u6784\u5efa\u66f4\u5f3a\u5927\u7684<\/em><a href=\"https:\/\/clarivate.com\/life-sciences-healthcare\/commercialization\/market-access\/managed-market-surveyor-suite\/\" target=\"_blank\" rel=\"noopener\"><em>\u5e02\u573a\u51c6\u5165\u8ba1\u5212<\/em><\/a><em>\u3002<\/em><\/p>\n<p><strong>\u63a2\u7d22\u6211\u4eec\u7684\u533b\u836f\u5e02\u573a\u51c6\u5165\u89e3\u51b3\u65b9\u6848\u5982\u4f55\u52a9\u60a8\u4e00\u81c2\u4e4b\u529b\u3002<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clarivate \u53d1\u5e03\u7684 Managed Market Surveyor \u6570\u636e\u53cd\u6620\u4e86\u622a\u81f3 2025 \u5e74 1 \u6708\u53c2\u4fdd\u60c5\u51b5\uff0c\u6570\u636e\u663e\u793a\uff0c\u7f8e\u56fd\u5065\u5eb7\u4fdd\u9669\u884c\u4e1a\u7684\u79c1\u8425\u548c\u516c\u5171\u90e8\u95e8\u90fd\u6b63\u5728\u7ecf\u5386\u52a8\u8361\u3002 \u53c2\u4fdd\u60c5\u51b5\u7684\u53d8\u5316\u6b63\u5728\u5f71\u54cd\u6570\u767e\u4e07\u7f8e\u56fd\u4eba\u7684\u5065\u5eb7\u798f\u5229\u548c\u533b\u7597\u670d\u52a1\u7684\u53ef\u53ca\u6027\uff0c\u672a\u6765\u53ef\u80fd\u51fa\u73b0\u66f4\u591a\u52a8\u8361\u3002 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