The pricing of US hospital services: Chaos behind a veil of secrecy

The pricing of US hospital services: Chaos behind a veil of secrecy
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DOI:
10.1377/hlthaff.25.1.57
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发表时间:
2006-01-01
期刊:
影响因子:
9.7
通讯作者:
Reinhardt, UE
Reinhardt, UE
中科院分区:
医学1区
文献类型:
--
作者:
Reinhardt, UE

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尽管美国人和外国人都倾向于认为美国的医疗保健系统是一个“市场驱动”的系统,但在这个系统中,医疗保健产品和服务的实际支付价格仍然非常不透明。本文描述了美国医院现在如何为各种第三方支付者和自付病人定价,以及该系统将如何改变以适应日益流行的“消费者导向的医疗保健”概念。
Although Americans and foreigners alike tend to think of the U.S. health care system as being a "market-driven" system, the prices actually paid for health care goods and services in that system have remained remarkably opaque. This paper describes how U.S. hospitals now price their services to the various third-party payers and self-paying patients, and how that system would have to be changed to accommodate the increasingly popular concept of "consumer-directed health care."