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田纳西州医院未遵守价格透明度立法,对8项常见的实验室测试进行了不合格
Stephanie A Hart1, Ayesha Khan1, Garrett S Booth1
1Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, US.
American journal of clinical pathology
|May 11, 2024
概括
田纳西州的医院对联邦价格透明度法律的遵守情况不佳. 患者面临不一致和难以获得的定价,阻碍了明智的医疗保健决策.
科学领域:
- 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
- 卫生经济学 卫生经济学
背景情况:
- 联邦价格透明化任务旨在为患者提供成本信息.
- 之前的研究表明,在执行这些任务方面存在挑战.
- 了解合规性和障碍对于有效的医疗保健政策至关重要.
研究的目的:
- 为了评估医院是否遵守田纳西州的联邦价格透明度法规.
- 确定阻碍提供可访问的定价信息的具体障碍.
主要方法:
- 分析了145个田纳西州医院网站的定价数据.
- 评估遵守医疗保险和医疗补助服务中心 (CMS) 的任务.
- 检查机器可读文件和消费者友好的显示器进行8次实验室测试.
主要成果:
- 田纳西州97.2%的医院不遵守CMS的价格透明度规则.
- 在机器可读文件 (49.6%) 和可购买服务 (78.6%) 中发现了重大违规行为.
- 障碍包括要求保护健康信息 (55.9%) 和过度点击 (54.1%用于机器可读文件).
结论:
- 田纳西州的医院普遍不遵守价格透明度法律.
- 价格信息仍然不一致,患者难以获取.
- 对于寻求明确和可访问的医疗保健成本的患者来说,仍然存在重大挑战.
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