分析社区层面社会经济地位对定价的影响 手术手术程序的价格透明度和可变性
Ben S Rhee1, Joshua R Tanzer2, Jodi S Charvis3
1Warren Alpert Medical School of Brown University.
Plastic and reconstructive surgery
|August 16, 2023
概括
医院价格透明度显示,手术手术过程中存在显著差异. 低收入地区的患者面临更高的谈判价格和更大的价格变化,可能会增加自付费用.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医学经济学 医学经济学
背景情况:
- 医院价格透明度最终规则要求医院公布服务价格.
- 医院必须通过机器可读文件和可购买的服务工具提供定价.
- 这项研究分析了手术手术程序的价格透明度.
研究的目的:
- 检查常见手术手术的定价透明度和变化的趋势.
- 评估医院定价与社区层面的社会经济因素之间的关联.
- 评估价格变化与患者群体的财务特征相关的价格变化.
主要方法:
- 收集了CPT代码64721,26615和25111的折扣现金价格和付款人具体谈判价格.
- 利用多变量分析根据区域收入,无保险人数百分比和实践成本指数对医院进行分组.
- 采用通用线性混合效应建模来评估与社区财务数据的价格变化.
主要成果:
- 大多数医院未能为所研究的程序显示折扣现金和付款人特定的谈判价格.
- 低收入地区的医院有较高的无保险率,对CPT代码25111收取更多费用.
- 这些医院还显示出与富裕地区相比,付款人具体谈判价格的变化更大.
结论:
- 对分析的手术CPT代码存在显著的定价差异和不完全的透明度.
- 低收入,高无保险地区的患者面临更高的平均谈判价格和变化.
- 这种差异可能会导致脆弱患者群体的自付费用增加.
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