常见的心血管入院诊断,诊断测试和治疗程序的医院内和医院内价格变化
Kriyana P Reddy1, Shreya Mehta1, Lauren A Eberly1,2,3
1Penn Cardiovascular Quality, Outcomes, and Evaluative Research Center University of Pennsylvania Philadelphia PA USA.
医疗保健价格在医院内和医院之间对心血管服务有很大差异. 增加的市场集中与更高的商业价格有关,突出了竞争和透明度的需要.
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
- 心血管医学 心血管医学
背景情况:
- 2021年的价格透明规则旨在促进竞争,使价格购物成为可能,并降低医疗保健成本.
- 了解价格变化对于评估规则的影响和确定成本驱动因素至关重要.
研究的目的:
- 量化心血管诊断,测试和手术的医院内和医院内价格变化.
- 为了检查支付者类型之间的价格差异.
- 为了确定与高商业价格相关的医院特征.
主要方法:
- 利用基于CPT和DRG代码的医院价格的绿色健康数据.
- 雇佣的达特斯图谱数据用于医院特征.
- 应用多变量线性混合效应模型来分析医院特征与商业价格之间的关联.
- 评估超过100万个独特的谈判费率.
主要成果:
- 对心血管服务的医院内和医院间观察到显著的价格差异.
- 医院内商业价格的中位数变化高达3.1倍 (心脏门手术).
- 非营利性地位和高市场度与更高的商业价格相关联.
结论:
- 医院之间和医院内部存在心血管保健的实质性价格差异.
- 市场集中是推动商业价格上的关键因素.
- 加强市场竞争,确保透明度和合规性对于降低成本至关重要.
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