美国医院甲状腺切除术和副甲状腺切除术的商业价格变化
Samuel J Enumah1, David C Chang2, Nancy L Cho3
1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 15 Fruit Street, Boston, MA, 02114, USA.
American journal of surgery
|November 19, 2024
概括
医院价格透明度显示甲状腺切除术和副甲状腺切除术费用存在显著差异. 高度的市场集中和医院质量评级与较高的商业价格相比,医疗保险费率相关.
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
- 外科手术的结果
背景情况:
- "2021年医院价格透明规则"要求医院披露服务价格.
- 这旨在促进竞争并减少医疗保健支出.
- 了解商业价格变化对于政策评估至关重要.
研究的目的:
- 分析甲状腺切除术和副甲状腺切除术的商业价格差异.
- 确定影响这些价格波动的因素.
主要方法:
- 一项全国横截面研究利用了绿色健康数据集 (2022-2023).
- 分析了医院内部和医院间的价格比率 (90至10百分位数).
- 后勤回归确定了与高商业价格与医疗保险价格比率 (≥1.5) 相关的因素.
主要成果:
- 检查了564家医院的16794个商业费率.
- 医院内价格比率从2.0到2.4不等.
- 跨医院的价格比率从2.7到4.1不等.
- 高市场度和5星评级与较高的商业与医疗保险价格比率相关.
结论:
- 对于相同的手术,医院内部和医院之间存在显著的价格差异.
- 与保险公司谈判的费率有很大差异.
- 医院质量评级可能会影响收入和患者护理策略.
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