辅助生殖技术的强制保险覆盖对诊所网站透明度透明度的影响
Marisa R Imbroane1, Hanna Kim2, Chloe H Van Dorn1
1School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Journal of women's health (2002)
|March 19, 2024
概括
强制规定生育治疗覆盖范围的州的诊所提供更多的网站透明度关于成本和保险. 在非授权州的患者面临的财务清晰度较低,增加了他们的负担.
科学领域:
- 生殖医学 生殖医学
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
背景情况:
- 辅助生殖技术 (ART) 的保险覆盖要求因州而异.
- 生育诊所的财务透明度对于患者的决策至关重要.
- 之前的研究还没有全面评估国家授权对诊所网站信息的影响.
研究的目的:
- 为了比较网站的成本透明度,保险和生育诊所之间的融资在有或没有强制性ART覆盖的州.
- 为了确定寻求生育治疗的患者在财务信息可访问性方面的差异.
主要方法:
- 通过助孕生殖技术协会 (SART) 在线定位器识别了646家诊所.
- 基于网站可访问性和运营状态的诊所除外.
- 从resolve.org.org.org收集的州授权数据进行了收集.
- 分析网站内容,以提高成本,保险和融资的透明度,使用千平方测试和物流回归.
主要成果:
- 具有强制性ART覆盖的州的诊所更有可能列出特定成本 (OR 2.13) 和接受的保险计划 (OR 2.44).
- 在授权州的诊所中,更高的百分比提到折扣计划,但总体而言,提到的财政援助并没有显著差异.
- 没有强制性的州的患者不太可能在附近的生育诊所找到财务透明度.
结论:
- 国家对辅助生殖技术 (ART) 覆盖的授权与生育诊所网站上的财务透明度增加有关.
- 没有保险授权的州的患者在获得明确的成本和保险信息方面面临更大的挑战.
- 促进金融透明度的政策干预可以使全国患者受益,特别是那些缺乏强制性覆盖的州的患者.
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