Dyckman Z
Center for Health Policy Studies, Columbia, MD 21046.
Health Care Financ Rev. 1992 Spring;13(3):85-96.
Little information is available on private payer claims cost experience for specific categories of health care. A study was conducted in which physician-claims cost experience and trends among 15 Blue Cross and Blue Shield Plans were compared. Between 1986 and 1988, physician claims cost per covered person increased at an average annual rate of 17 percent, approximately 6 percentage points higher than for Medicare. Annual charges were highest for laboratory (24 percent), radiology (19 percent), and medical care (18 percent) services. Utilization trends were also examined in the study. The number of radiology imaging procedures performed increased 48 percent between 1986 and 1988, and the number of hospital visits declined by 6 percent.
关于特定类别医疗保健的私人支付者索赔成本经验，可获取的信息很少。开展了一项研究，比较了15个蓝十字蓝盾计划中医生索赔成本经验和趋势。1986年至1988年期间，每个参保人的医生索赔成本以年均17%的速度增长，比医疗保险高出约6个百分点。实验室服务（24%）、放射科服务（19%）和医疗服务（18%）的年度费用最高。该研究还考察了使用趋势。1986年至1988年期间，放射成像检查的执行数量增加了48%，而医院就诊次数下降了6%。
