受到攻击的医疗保险优势:公众的批评和影响
Daniel G Aaron1, I Glenn Cohen2, Eli Y Adashi3
1S.J. Quinney College of Law, University of Utah, 383 South University Street, Salt Lake City, UT, 84112, USA. Daniel.Aaron@law.utah.edu.
医疗保险优势 (MA) 计划因欺骗性营销和比传统医疗保险更高的成本等问题而受到批评. 尽管联邦支出增加,但这些私人医疗保险计划的好处尚不清楚,这引发了人们对医疗保健中的利动机的担忧.
科学领域:
- 卫生政策 卫生政策
- 医疗保健经济学 医疗保健经济学
- 公共卫生 公共卫生
背景情况:
- 医疗保险优势 (MA) 是一项私有化的医疗保险选择,由1982年"税收公平和财政责任法案"建立.
- 私有化努力强调了企业利激励措施,以提高社会企业的效率和质量.
- 越来越多的批评强调了MA计划的财务利益与患者福祉之间的潜在冲突.
研究的目的:
- 检查对医疗保险优势计划提出的批评.
- 与传统医疗保险相比,分析MA计划的财务影响.
- 质疑利激励在医疗保险和更广泛的医疗保健系统中的作用和影响.
主要方法:
- 分析国会听证会和关于医疗保险优势的公共报告.
- 审查包括营销,网络问题,患者选择和事先授权在内的批评.
- 在MA计划和传统医疗保险之间对每位患者的费用进行比较.
主要成果:
- 医疗保险优势计划与严重的批评有关,例如欺骗性营销,幽灵网络,患者桃挑选和不道德的事先授权拒绝.
- 与传统的医疗保险相比,每位患者的MA计划成本比传统的医疗保险高22%.
- 目前尚不清楚对MA计划增加的支出是否会带来相应的好处.
结论:
- 越来越多的批评表明,MA计划的财务利益与患者福利之间存在不一致.
- 没有明确的比例利益的MA计划的更高成本引发了人们对医疗保险中利激励措施的有效性的担忧.
- 这些问题引发了关于利在医疗保健提供中的作用的更广泛的问题.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
相关概念视频
Standards of Care II
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Standards of Care I
