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美国的测试:价格透明度有限,变化很大
Matthew DeMasi1,2, Nicholas Sellke3,4, Sherry Mortach5
1Case Western Reserve University School of Medicine, Cleveland, OH, USA. Matthew.Demasi@uhhospitals.org.
International journal of impotence research
|August 13, 2025
概括
尽管有联邦法规,但几乎一半的美国医院未能报告测试价格. 这种缺乏透明度导致价格的大幅波动,并阻碍消费者在必要的实验室测试中做出明智的选择.
科学领域:
- 卫生经济学 卫生经济学
- 临床实验室科学 临床实验室科学
- 医疗保健政策 医疗保健政策
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 在2021年强制要求医院价格透明度.
- 了解常见诊断测试的医院价格报告对于患者获取和成本意识至关重要.
- 测试是一种常见的诊断程序,价格可变.
研究的目的:
- 评估医院报告的丸激素 (T) 测试价格透明度和价格变化在美国.
- 确定影响T测试医院价格报告的因素.
- 评估2021年CMS法规对T测试价格披露的影响.
主要方法:
- 分析绿色数据库,以确定医院报告免费或总T检测的价格.
- 报价者与非报价者之间的医院特征比较.
- 多变量回归以确定报告的预测因素,并根据测试和付款人类型评估价格变化.
主要成果:
- 在6700家美国医院中,51.7%的医院报告至少有一次T检测.
- 价格报告在较大,非营利性医院和那些合规性得分较高的医院中更常见.
- 观察到区域性价格差异很大,总T的中位价格为84.90美元,免费T的中位价格为92.27美元,因付款人而异.
结论:
- 尽管有2021年法规,但大量医院没有报告T检测价格.
- 价格报告与医院规模和所有权类型有关.
- 缺乏价格透明度导致价格大幅波动,并限制了消费者对T检测的选择.
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