一个基于规则的解决方案,以不透明的医疗计费在美国
1SAINT MARY'S UNIVERSITY OF MINNESOTA, WINONA, MINNESOTA, USA.
概括
患者和医生缺乏医疗程序成本透明度,导致医疗保健费用上. 一项新规则应该要求医生在治疗前提供非紧急护理的自费费用估计.
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
- 医疗账单计费 医疗账单计费
背景情况:
- 缺乏医疗收费透明度,导致患者意外高昂的费用.
- 不透明的定价导致医疗保健支出不断增加,给个人和系统带来负担.
- 目前为不透明的医疗计费提出的解决方案是不够的.
研究的目的:
- 批评现有的不透明医疗计费解决方案.
- 提出一种新的监管方法,以提高价格透明度.
主要方法:
- 对医疗费用沟通当前挑战的分析.
- 对不透明的医疗计费提出的两个解决方案的批评.
- 为新的医疗保险和医疗补助服务中心 (CMS) 规则辩论.
主要成果:
- 发现患者和医生缺乏成本知识.
- 证明了不透明计费与医疗保健成本上升之间的联系.
- 提出了一个特定的监管解决方案.
结论:
- 医生必须在提供服务之前为患者提供非紧急手术的合理自费费用估计.
- 医疗保险和医疗补助服务中心应该实施一项规则,要求披露这些信息.
- 提高透明度可以减轻财务负担,提高医疗保健的负担能力.
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