医療サービス価格の利用可能性と,これらのサービスに対する支払いの関連性
Christopher Whaley1, Jennifer Schneider Chafen2, Sophie Pinkard3
1University of California, Berkeley, Berkeley2Castlight Health, San Francisco, California.
JAMA
|October 22, 2014
まとめ
価格の透明性プラットフォームの使用は,検査やイメージングなどの一般的なサービスに対する医療費の削減と関連していた. 介護前に価格を検索した患者は,特に高度なイメージングサービスでは,より少ない費用を支払いました.
科学分野:
- 健康経済学 医療経済学
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
- 医療サービス 研究 医療サービス
背景:
- 政府と民間部門は,コストを削減するために,医療価格の透明性を促進しています.
- 価格の透明性ツールが実際の医療費に与える影響を理解することは極めて重要です.
研究 の 目的:
- 雇用主主催の民間価格透明性プラットフォームを使用すると,検査検査,高度なイメージング,臨床医の診察で請求金の支払いが低くなるかどうかを評価する.
主な方法:
- 18の雇用主における50万人以上の患者からの医療請求データの比較分析.
- 傾向スコア調整付きの多変量汎用線形モデルは,価格透明性プラットフォームのユーザーと非ユーザーの間の支払いを比較するために使用されました.
- この研究では,プラットフォームへのアクセスの前と後の請求を分析し,人口統計学的および手続き上の違いを制御しました.
主要な成果:
- 価格の透明性プラットフォームを使用した患者は,アクセス後の請求金の支払いが著しく低下したことを示しました: 13.93%はラボテストで, 13.15%は高度なイメージングで, 1.02%は診察室訪問で.
- 絶対的な節約は,検査費3.45ドル,画像検査費124.74ドル,診察費1.18ドルでした.
- プラットフォームにアクセスする前に,ユーザーはより高い支払いをしており,これは分析で考慮された選択バイアスを示唆しています.
結論:
- 価格の透明性に関する情報の利用は,一般的な医療サービスに対する総賠償金の削減と相関しています.
- 最も実質的なコスト削減は,高度なイメージングサービスで観察され,最も小さな影響は,臨床診察室訪問で観察されました.
- 患者が治療を受ける前に価格情報にアクセスできるようにすることは,潜在的に全体的な医療費の削減につながる可能性があります.
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