国家对事先授权的限制
David H Howard1, Alissa Durakovic
1Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322.
The American journal of managed care
|September 18, 2025
概括
限制保险人事先授权的州法律可能会增加医疗保健成本. 这些规定虽然旨在帮助患者,但可能会导致意外的负面结果和财务负担.
科学领域:
- 卫生政策研究 卫生政策研究
- 医疗保健的经济学
背景情况:
- 保险公司使用事先授权 (PA) 来控制医疗保健成本.
- 许多州正在实施法律来限制PA要求.
研究的目的:
- 分析国家级事先授权限制的潜在经济影响.
主要方法:
- 审查有关事先授权的州立法.
- 对潜在成本转移的经济建模.
主要成果:
- 限制事先授权的立法可能会增加医疗保健总体支出.
- 对提供者和付款人来说,可能会增加行政负担和成本.
结论:
- 国家特定的预先授权法律可能会产生重大,潜在的负面的财务后果.
- 在制定这些政策时,需要仔细考虑经济影响.
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