Provider Pricing Behavior and Health Policy

提供商定价行为和健康政策

基本信息

  • 批准号:
    2222433
  • 负责人:
  • 金额:
    $ 28.24万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
    Standard Grant
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-10-01 至 2025-09-30
  • 项目状态:
    未结题

项目摘要

Spending on health care comprises almost 20% of GDP in the United States, and spending on hospital care constitutes almost a third of that. Despite this cost, relatively little is known about the pricing behavior of hospitals: until recently, the rates negotiated between hospitals and insurers for items and services have been largely confidential, thus significantly limiting researchers’ abilities to understand the market dynamics for hospital care. This project will use new, publicly available hospital price transparency data from hospitals across the country to better understand how health policy affects hospital pricing: specifically, how Medicaid expansion is associated with altered hospital pricing practices. Hospitals typically contract with many different payers – both public and private – that have different degrees of negotiating power; Medicaid expansion changes the distribution of payer mix for a given hospital, and thus may have consequences for the prices that payers are able to negotiate. This project should not only deepen the collective understanding of hospital pricing practices, but also enable additional research into hospital pricing behavior and inform national policy discussions on the costs and benefits of public insurance expansion. This project will assemble a sample of novel, publicly available hospital pricing datasets from hospitals all over the country and clean, document, and synthesize this data. Then, using this analytic dataset, this project will conduct two studies on the determinants of hospital pricing. Using a quasi-experimental state-border research design, both studies will estimate the relationship between payer mix and hospital pricing behavior. The first study will examine the extent to which hospitals respond to Medicaid expansion by shifting costs between payers; the second study will examine the extent to which hospitals respond to Medicaid expansion by strategically altering prices across services within the hospital. Finally, this project will publicize and promote this research dataset among other researchers at minority-serving institutions (MSIs), and will provide proactive outreach to, and support for, other MSI researchers seeking to use this new, important data source.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.
医疗保健支出几乎占美国GDP的20%,而医院护理支出几乎占其中的三分之一。尽管成本高昂,但人们对医院的定价行为知之甚少:直到最近,医院和保险公司就项目和服务谈判的费率基本上都是保密的,因此大大限制了研究人员理解医院护理市场动态的能力。该项目将使用来自全国各地医院的新的、可公开获得的医院价格透明度数据,以更好地了解医疗政策如何影响医院定价:具体地说,医疗补助计划的扩大如何与改变的医院定价做法相关联。医院通常与许多不同的支付者--包括公立和私立--签订合同,这些支付者具有不同程度的谈判能力;医疗补助计划的扩大改变了给定医院的支付者组合的分布,因此可能会对支付者能够谈判的价格产生影响。这个项目不仅应该加深对医院定价实践的集体理解,还应该使对医院定价行为的进一步研究成为可能,并为关于扩大公共保险的成本和收益的国家政策讨论提供信息。该项目将收集来自全国各地医院的新颖的、公开可用的医院定价数据集的样本,并对这些数据进行清理、记录和合成。然后,使用这个分析数据集,该项目将对医院定价的决定因素进行两项研究。采用准试验性州际研究设计,两项研究都将估计付款人组合与医院定价行为之间的关系。第一项研究将考察医院通过在付款人之间转移成本来应对医疗补助扩大的程度;第二项研究将审查医院通过战略性地改变医院内部服务的价格来应对医疗补助扩大的程度。最后,这个项目将在少数群体服务机构(MSI)的其他研究人员中宣传和推广这一研究数据集,并将积极主动地接触和支持其他MSI研究人员寻求使用这个新的、重要的数据源。该奖项反映了NSF的法定使命,并通过使用基金会的智力价值和更广泛的影响审查标准进行评估,被认为值得支持。

项目成果

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Morgan Henderson其他文献

HISTORICAL DATA ? EVIDENCE FROM NEW U . S . GROUND TRUTH
历史数据 ?
  • DOI:
  • 发表时间:
    2018
  • 期刊:
  • 影响因子:
    0
  • 作者:
    M. Bailey;Connor Cole;Morgan Henderson;Catherine G. Massey
  • 通讯作者:
    Catherine G. Massey
Price Variation for Total Shoulder Arthroplasty in the United States: Transparency, Variability, and Compliance with Federal Reporting Regulations
美国全肩关节置换术的价格变化:透明度、可变性以及遵守联邦报告法规
  • DOI:
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    0
  • 作者:
    M. Best;Morgane C. Mouslim;Morgan Henderson;Sribava Sharma;A. S. Miller;G. Anderson;U. Srikumaran
  • 通讯作者:
    U. Srikumaran
Assessing Compliance with Hospital Price Transparency over Time
  • DOI:
    10.1007/s11606-022-08020-3
  • 发表时间:
    2023-01-27
  • 期刊:
  • 影响因子:
    4.200
  • 作者:
    Morgan Henderson;Morgane Mouslim
  • 通讯作者:
    Morgane Mouslim
Predicting Hospital Readmissions in a Commercially Insured Population over Varying Time Horizons
预测不同时间范围内商业保险人群的再入院率
  • DOI:
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    5.7
  • 作者:
    Morgan Henderson;J. Hirshon;Fei Han;M. Donohue;I. Stockwell
  • 通讯作者:
    I. Stockwell
Assessing performance of ZCTA-level and Census Tract-level social and environmental risk factors in a model predicting hospital events.
评估预测医院事件模型中 ZCTA 级和人口普查区级社会和环境风险因素的表现。
  • DOI:
    10.1016/j.socscimed.2023.115943
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    5.4
  • 作者:
    Leigh G. Goetschius;Morgan Henderson;Fei Han;Dillon Mahmoudi;Chad Perman;H. Haft;I. Stockwell
  • 通讯作者:
    I. Stockwell

Morgan Henderson的其他文献

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