医生垂直整合对推模式,患者福利和市场动态的影响
Christopher M Whaley1, Xiaoxi Zhao2
1Brown University School of Public Health, Department of Health Services, Policy, and Practice.
概括
医生垂直整合增加了患者转介到更昂贵的设施,从而提高了医疗保险成本. 如果所有初级保健医生整合,支出可能会增加3.15亿美元.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 医学经济学 医学经济学
背景情况:
- 医生垂直整合正在增长,引发了对潜在负面影响的担忧.
- 担忧包括扭曲的转诊模式,医疗保健支出增加和市场抵押.
研究的目的:
- 估计医生垂直整合对患者提供者选择和福利的影响.
- 专注于两个常见的下游外科手术程序.
主要方法:
- 使用100%的医疗保险数据进行全面分析.
- 结合缩小形式分析与离散选择模型.
主要成果:
- 医生与医院的整合导致推到价格较高的设施增加了大约10%.
- 反事实分析预计,如果所有初级保健医生成为整合,医疗保险总支出将增加3.15亿美元.
结论:
- 医生垂直整合似乎影响了患者转诊模式向更昂贵的提供者.
- 这一趋势表明,医疗保险系统内的医疗保健支出增加的巨大潜力.
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