医疗服务价格的可用性与为这些服务支付费用之间的关联
Christopher Whaley1, Jennifer Schneider Chafen2, Sophie Pinkard3
1University of California, Berkeley, Berkeley2Castlight Health, San Francisco, California.
JAMA
|October 22, 2014
概括
使用价格透明度平台与实验室测试和成像等常见服务的医疗保健成本降低有关. 在护理之前搜索价格的患者支付的费用更低,尤其是高级成像服务.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 医疗服务研究 医疗服务研究
背景情况:
- 政府和私营部门正在促进医疗保健价格透明度,以降低成本.
- 了解价格透明度工具对实际医疗保健支出的影响至关重要.
研究的目的:
- 评估使用雇主赞助的私人价格透明度平台是否与实验室测试,先进成像和临床医生办公室访问的较低索赔支付有关.
主要方法:
- 对18个雇主超过50万名患者的医疗索赔数据进行了比较分析.
- 用多变量通用线性模型与倾向得分调整来比较价格透明平台的用户和非用户之间的付款.
- 该研究分析了平台访问前后的索赔,控制了人口统计和程序差异.
主要成果:
- 使用价格透明度平台的患者在访问后的索赔支付显著下降:实验室检测为13.93%,高级成像为13.15%,办公室访问为1.02%.
- 绝对节省的是实验室检测3.45美元,高级成像124.74美元,办公室访问1.18美元.
- 在平台访问之前,用户支付的费用更高,这表明了在分析中考虑的选择偏差.
结论:
- 价格透明度信息的使用与普通医疗服务的赔偿金总额减少有关.
- 在先进的成像服务中观察到最实质性的成本降低,而在临床办公室访问中观察到的影响最小.
- 在接受护理之前向患者提供价格信息,可能会导致整体医疗保健支出减少.
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