Tennessee Ashley M, Bradham Tamala S, White Brandi M, Simpson Kit N
Ashley M. Tennessee and Brandi M. White are with the Department of Health Professions, Medical University of South Carolina, Charleston. Tamala S. Bradham is with the Center for Quality, Safety, and Risk Prevention, Vanderbilt University Medical Center, Nashville, TN. Kit N. Simpson is with the Department of Healthcare Leadership and Management, Medical University of South Carolina.
Am J Public Health. 2017 Jun;107(6):983-988. doi: 10.2105/AJPH.2017.303742. Epub 2017 Apr 20.
To determine whether privately insured female rape victims were billed for charges associated with a specific rape in the United States.
We examined 2013 de-identified patient data from Truven Analytics Health MarketScan database for an assault that occurred by using International Classification of Diseases, Ninth Revision, code E960.1.
Analysis of insurance providers' payment patterns for 1355 incident events to female victims aged between 16 and 61 years revealed that victims remit, on average, 14% or $948 of the rape cost, whereas insurance providers pay 86% or $5789 of the total cost.
Hospital billing procedures for privately insured victims of rape across the United States are not separate from billing procedures for privately insured nonrape patients. This standardized procedure leads hospitals to bill victims directly for services not paid under the victims' insurance policy. Public Health Implications. The Violence Against Women Act (passed in 1994, reauthorized in 2000, 2005, and 2013) must be amended to mandate that all costs incurred because of rape are not passed on to the victim.
确定在美国,为遭受特定强奸的参保女性受害者开具相关费用账单的情况。
我们使用国际疾病分类第九版代码E960.1,从Truven Analytics健康市场扫描数据库中检查了2013年匿名患者数据,以了解一起袭击事件。
对1355起针对16至61岁女性受害者的事件中保险提供商的支付模式分析显示,受害者平均承担强奸费用的14%或948美元,而保险提供商支付总费用的86%或5789美元。
美国各地为参保强奸受害者的医院计费程序与参保非强奸患者的计费程序并无不同。这种标准化程序导致医院直接向受害者收取其保险政策未支付的服务费用。对公共卫生的影响。必须修订《暴力侵害妇女法》(1994年通过,2000年、2005年和2013年重新授权),以规定不得将因强奸产生的所有费用转嫁给受害者。