Large variations in hospital pricing for standard procedures revealed.
Large variations in hospital pricing for standard procedures revealed.
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DOI：
10.1186/s13104-022-06014-2
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发表时间：
2022-04-05
影响因子：
1.8
通讯作者：
Moss JL
中科院分区：
文献类型：
--
作者：
Shen C;Moss JL
CMS于2021年1月1日强制要求医院价格透明报告，旨在增强患者的能力，增强市场竞争，并降低美国的医疗成本。我们的目的是描述1982年医院报告的六种标准程序(包括腹部超声、结肠镜检查、肾功能血液测试板、膝关节镜软骨摘除、脑部磁共振成像扫描和骨盆计算机断层扫描与对比)的医院定价的变异性，特别关注不同保险计划类型的定价差异。我们发现，保险计划类型之间存在着很大的异质性。膝关节镜软骨摘除的最低报告价格为18,679个(由908家医院报告，平均 = 21个/医院)，而腹部超声报告的最高价格为44,921个(由1,861个医院报告，平均 = 24个/医院)。总体而言，报告的医院定价是标价最高的，其次是现金价格和与商业保险计划谈判的价格。包括联邦医疗保险、医疗补助和退伍军人/Tricare计划在内的政府保险的价格要低得多。然而，价格差异很大，所有计划类型的定价都有很大的重叠。所有操作的变异系数均超过100%，从膝关节镜下软骨摘除的106%到肾功能血检的397%不等。网上版载有补充材料，可在10.1186/s13104-022-06014-2查阅。
The CMS mandated hospital price transparency reporting on January 1, 2021 aiming to empower patients, enhance market competition, and curtail healthcare costs in the US. We aimed to characterize variability in hospital pricing reported by 1982 hospitals on six standard procedures (including abdominal ultrasound, diagnostic colonoscopy, kidney function blood test panel, knee arthroscopic cartilage removal, magnetic resonance imaging scan of brain, and pelvis computed tomography scan with contrast), with a particular focus on variations in pricing by insurance plan type. We found substantial heterogeneity across insurance plan types. The minimum number of prices reported was 18,679 for knee arthroscopic cartilage removal (reported by 908 hospitals, average = 21 prices/hospital), while the maximum number of prices reported was 44,921 for abdominal ultrasound (reported by 1861 hospitals, average = 24 prices/hospital). In general, reported hospital pricing was highest for the list price, followed by cash price and prices negotiated with commercial insurance plans. Government insurance, including Medicare, Medicaid and Veterans/Tricare plans, had much lower prices. However, prices were very heterogeneous with substantial overlaps between pricing for all plan types. The coefficients of variation for all procedures exceeded 100%, ranging from 106% for knee arthroscopic cartilage removal to 397% for kidney function blood test panel. The online version contains supplementary material available at 10.1186/s13104-022-06014-2.
影响因子：
5.9
作者：
Himmelstein, David U.;Thorne, Deborah;Woolhandler, Steffie
通讯作者：
Woolhandler, Steffie
影响因子：
3.5
作者：
Whaley, Christopher M.
通讯作者：
Whaley, Christopher M.