对脆弱的急诊室用户的医院定价趋势,2021-2023年
Morgane C Mouslim1, Simone Singh, Morgan A Henderson
1University of Maryland, Baltimore County, 1000 Hilltop Circle, Sondheim Hall, 3rd Floor, Baltimore, MD 21250.
The American journal of managed care
|January 9, 2026
概括
自付患者的急诊室 (ED) 价格从2021年到2023年大幅增加,特别是在营利性医院. 这些不断上升的成本加剧了寻求护理的弱势群体的负担能力问题.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急部门 (ED) 设施费用对自付患者来说是相当大的成本.
- 了解ED定价的趋势对于评估患者的财务风险和医疗保健的可获得性至关重要.
研究的目的:
- 分析2021年至2023年期间自付患者ED价格变化的相关性.
- 为了确定与价格波动相关的医院和区域特征.
主要方法:
- 对CPT代码99283-99285.5的自付价格进行了回顾性的纵向分析.
- 利用了2021年和2023年的国家医院价格透明度数据.
- 雇佣多变量加权线性回归,控制价格透明度报告合规性.
主要成果:
- 从2021年到2023年,自付费的平均价格增加了98.69美元 (CPT 99283),392.85美元 (CPT 99284) 和642.74美元 (CPT 99285).
- 营利性医院的价格上高于非营利性医院.
- 系统的附属性和服务于没有保险的西班牙裔/拉丁裔人口较多的社区与CPT代码99284和99285的价格上相关.
结论:
- 随着ED价格的上,自支付患者面临重大负担能力挑战.
- 营利性和系统附属医院推动了最大的价格上.
- 由于医疗补助招生转变,预计自付人口的增加需要了解财务风险暴露.
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