医師の独占禁止免除法の分析:権力バランスを調整する
1Center for Organization and Delivery Studies, Agency for Healthcare Research and Quality, Suite 605, 2101 E Jefferson St, Rockville, MD 20852, USA. fhelling@ahrq.gov
JAMA
|July 4, 2001
まとめ
医者は,新しい州と連邦の独占禁止免除法のおかげで,すぐに医療プランとの手数料を共同で交渉する能力を獲得するかもしれません. このシフトは,医師とマネージドケア組織との間のパワーダイナミクスを変化させる可能性があります.
科学分野:
- 保健法 保健法 保健法 保健法
- アントitrust法 アントitrust法 アントitrust法 アントitrust法 アントitrust法 アントitrust法
- 健康経済学 医療経済学
背景:
- 現行の反トラスト法では,医師が健康保険との協同交渉を行うことを一般的に禁止している.
- 州訴訟免責と連邦の免除は,集団交渉の潜在的な道筋を提供します.
- テキサス州は1999年に医師の独占禁止免除法に先立ちました.
研究 の 目的:
- 医師が手数料を集団で交渉できるようにすることを目的とした最近の法律を分析する.
- 医者が管理するケアプランの関係に対するこの法律の潜在的な影響を検討する.
- 医者の交渉の進化する法的状況を理解するために.
主な方法:
- 医師の独占禁止免除に関する州および連邦の立法案の分析.
- 提案された法律および制定された法律における特徴と条件の見直し.
- 潜在的経済と権力バランスの影響の検討.
主要な成果:
- 集団的医師交渉を許可する法律は,多くの州および連邦レベルで導入されています.
- いくつかの法律が可決されていますが (例えば,コロンビア州),実施の課題は存在します.
- 医師の料金の交渉を可能にするために,継続的な立法的な関心があります.
結論:
- この傾向は,医師がマネージドケアプランで集団交渉力を獲得できるようにする動きが拡大していることを示している.
- この立法的な傾向は,医師と健康保険会社との間の交渉のバランスを大幅に変える可能性があります.
- これらの免除の完全な影響を理解するために,さらなる分析が必要です.
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