分析"安全步骤法案"对患者,医生和保险公司的好处和成本
Divya M Shan1, Jonathan D Greenzaid1, Estay Greene2
1Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Journal of psoriasis and psoriatic arthritis
|September 20, 2024
概括
安全步骤法案可以加快患者获得皮肤病治疗的速度,但可能会增加保险成本. 这项立法影响了患者,医生和保险公司的药品开支.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 皮肤病学 皮肤病学
背景情况:
- 美国不断上升的药品开支,特别是皮肤病方面的开支,是由高成本的局部和生物治疗所驱动的.
- 保险公司使用成本控制策略,如步骤疗法,在批准昂贵药物之前需要低成本药物.
- 安全步骤法案提出了步骤治疗的改革,包括透明的例外请求和定义的时间表.
研究的目的:
- 分析"安全步骤法"对医疗保健环境的潜在影响.
- 检查该法案对患者,医生和保险公司的影响.
- 讨论患者获取和医疗保健成本控制之间的平衡.
主要方法:
- 审查"安全步骤法案"的政策.
- 对先前授权和步骤治疗的现有文献进行分析.
- 讨论对利益相关者的潜在后果.
主要成果:
- 该法案可能会加速药物获取,并防止患者的治疗延迟.
- 它不太可能减少皮肤病诊所的行政负担.
- 简化步骤治疗豁免可能会阻碍成本控制,并可能提高保险费.
结论:
- 安全步骤法案为患者获取提供了潜在的好处,但对医疗保健成本管理提出了挑战.
- 步骤疗法,尽管有缺点,但鼓励成本有效的治疗策略.
- 为了平衡患者需求与保险公司的成本控制,需要仔细考虑政策.
相关概念视频
Standards of Care I
670
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
670
Standards of Care II
636
Nurses bear specific legal responsibilities under several federal statutes, including:
636
Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
Methods of Documentation VI: Case Management Model
561
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
561
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K


