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价格透明度:增强患者选择权,促进医疗服务提供者竞争。

Price Transparency: Empowering Patient Choice and Promoting Provider Competition.

机构信息

Kenan-Flagler School of Business, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Competition Policy & Advocacy Section, Antitrust Division, U.S. Department of Justice, Washington, DC, USA.

出版信息

J Med Syst. 2020 Mar 5;44(4):80. doi: 10.1007/s10916-020-01553-2.

DOI:10.1007/s10916-020-01553-2
PMID:32140942
Abstract

In light of recent health policy efforts to promote price transparency, this perspective reviews the challenges and benefits of price transparency. These price transparency efforts include the recent executive order and associated rulemaking directing providers to disclose negotiated and out-of-pocket costs for "shoppable" healthcare services. First, we explore the previous efforts of states and health plans targeted at price transparency, reviewing lessons for future implementation. Second, we address the value of price transparency in light of various policy concerns and objections. Finally, we jointly hypothesize potential effects of and opportunities presented by price transparency for patients, physicians, and other healthcare industry stakeholders.

摘要

鉴于最近卫生政策在促进价格透明度方面的努力,本观点回顾了价格透明度的挑战和益处。这些价格透明度工作包括最近的行政命令和相关的规则制定,要求供应商披露“可购买”医疗服务的协商和自付费用。首先,我们探讨了各州和健康计划在价格透明度方面的先前努力,总结了未来实施的经验教训。其次,我们根据各种政策关注和反对意见来探讨价格透明度的价值。最后,我们共同假设价格透明度对患者、医生和其他医疗保健行业利益相关者的潜在影响和机遇。

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本文引用的文献

1
Offering A Price Transparency Tool Did Not Reduce Overall Spending Among California Public Employees And Retirees.提供价格透明度工具并未降低加利福尼亚州公共雇员和退休人员的总体支出。
Health Aff (Millwood). 2017 Aug 1;36(8):1401-1407. doi: 10.1377/hlthaff.2016.1636.
2
Characterizing health plan price estimator tools: findings from a national survey.描述健康计划价格估算工具:一项全国性调查的结果
Am J Manag Care. 2016 Feb;22(2):126-31.
3
Price transparency for MRIs increased use of less costly providers and triggered provider competition.
关于促进价格透明度政策有效性的证据——系统评价。
Health Policy. 2023 Aug;134:104681. doi: 10.1016/j.healthpol.2022.11.002. Epub 2022 Nov 8.
4
Less Than One-third of Hospitals Provide Compliant Price Transparency Information for Total Joint Arthroplasty Procedures.不到三分之一的医院提供符合要求的全膝关节置换术价格透明度信息。
Clin Orthop Relat Res. 2022 Dec 1;480(12):2316-2326. doi: 10.1097/CORR.0000000000002288. Epub 2022 Jun 24.
5
Price Transparency for Primary Care Office Visits and Routine Tests: Results From a 2016 Audit Study.初级保健门诊就诊和常规检查的价格透明度:2016 年审计研究结果。
Inquiry. 2022 Jan-Dec;59:469580221092122. doi: 10.1177/00469580221092122.
核磁共振成像(MRI)的价格透明度提高了成本较低的供应商的使用率,并引发了供应商之间的竞争。
Health Aff (Millwood). 2014 Aug;33(8):1391-8. doi: 10.1377/hlthaff.2014.0168.
4
An experiment shows that a well-designed report on costs and quality can help consumers choose high-value health care.一项实验表明,精心设计的成本与质量报告可以帮助消费者选择高价值的医疗保健服务。
Health Aff (Millwood). 2012 Mar;31(3):560-8. doi: 10.1377/hlthaff.2011.1168.