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What Should "Shopping" Look Like in Actual Practice?
Nisha M Patel1, Jesse M Ehrenfeld2, Brian J Miller3
1Practicing primary care physician and assistant professor of general internal medicine at the University of Florida in Gainesville.
AMA Journal of Ethics
|November 7, 2022
Summary
Lack of healthcare cost transparency leads to higher patient expenses. This study examines policies and ethical considerations for improving price disclosure at the point of service.
Area of Science:
- Health Policy
- Medical Ethics
- Health Economics
Background:
- Lack of transparency in healthcare pricing increases patient costs and out-of-pocket expenses.
- Federal policies are emerging to address healthcare cost transparency.
- Ethical considerations and the clinician's role in price disclosure are increasingly discussed.
Purpose of the Study:
- To investigate and encourage policy efforts (state, private, federal) aimed at healthcare cost transparency for patients.
- To apply the ethical framework of principlism to transparency challenges.
- To consider the practical demands of a "shoppable service" model on clinicians.
Main Methods:
- Policy analysis of state, private market, and federal initiatives.
- Application of the ethical principlism framework (autonomy, beneficence, non-maleficence, justice).
- Case study analysis of "shoppable services" in healthcare.
Main Results:
- Analysis of current policy landscape regarding healthcare cost transparency.
- Ethical implications of price disclosure for patient autonomy and clinician practice.
- Potential impact of "shoppable services" on patient engagement and cost awareness.
Conclusions:
- Policy interventions are crucial for enhancing healthcare cost transparency.
- Ethical frameworks support the need for clinicians to be transparent about costs.
- The "shoppable service" model presents opportunities and challenges for transparent healthcare pricing.
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