根据国家平衡计费条例,新生儿学定价和网络参与
Wendy Yi Xu1, Christopher Garmon, Sheldon M Retchin
1Division of Health Services Management and Policy, College of Public Health, The Ohio State University, 1841 Neil Ave, Cunz Hall 208, Columbus, OH 43210-1132.
The American journal of managed care
|October 27, 2025
概括
国家平衡计费法律并没有持续影响新生儿价格或提供者网络参与. 一些法律增加了网络之外的价格,显示了对家庭意外医疗账单的各种影响.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 新生儿护理 新生儿护理
背景情况:
- 商业保险家庭面临高昂的新生儿医疗费用和有限的提供者选择.
- 网络之外的新生儿科医生可能会发出意外的平衡账单.
- 国家平衡计费法律旨在保护患者免受意外费用.
研究的目的:
- 检查国家平衡计费法律对新生儿价格的影响.
- 评估这些法律对新生儿科学提供者网络参与的影响.
主要方法:
- 使用了一个准实验性的,差异差异的设计.
- 分析了2012-2019年对接受新生儿医疗服务的全保险患者的索赔数据.
- 网络内,网络外和综合总价格的比较,以及政策实施前后的网络参与率.
主要成果:
- 与对照国家相比,没有观察到网络内或联合新生儿价格的显著变化.
- 在采用独立争端解决方法 (IDR) 的州,网络之外的价格上.
- 各州的具体分析显示,IDR和基准评级方法的结果各不相同.
结论:
- 国家资产负债账单法对新生儿医疗服务定价的影响有相当大的差异.
- 没有一致的证据表明,国家政策影响了新生儿价格或临床医生网络参与.
- 联邦"无惊喜法"允许州法规继续管理全保险计划.
相关概念视频
Standards of Care I
1.0K
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:
1.0K
Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Accountability and Responsibility of a Nurse I
2.8K
Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
2.8K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K


