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首页> 外文期刊>Health affairs >Mystery Of The Chargemaster: Examining The Role Of Hospital List Prices In What Patients Actually Pay
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Mystery Of The Chargemaster: Examining The Role Of Hospital List Prices In What Patients Actually Pay

机译：Chargemaster的谜：检查医院列表价格在实际支付的内容中的作用

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摘要

Hospitals in the United States maintain chargemasters that contain the official list prices for all billable services. The prices vary widely across hospitals and are more than three times what hospitals are paid for treating a patient, on average. From this it is tempting to conclude that list prices are a strange, yet ultimately inconsequential, quirk of US health care. However, using both state and national data sets covering the period 2002-14, we found considerable evidence suggesting that list prices reflect hospitals' strategic behavior and have meaningful effects on payments made by and on behalf of patients. Specifically, we found that list prices varied predominantly across hospitals and within markets, were well predicted by observable hospital characteristics, and were positively related to prices actually paid by patients and their insurers. Moreover, analyses of data before and after the implementation of California's Hospital Fair Pricing Act suggest that high list prices causally increased payments from the uninsured. However, list prices had at most a limited relationship with care quality.
机译：美国的医院维护所有可费率服务的官方清单价格的充电器。医院价格差异很大，并且平均医院支付了三倍以上的支付医院的费用。从这一点起，得出的诱人是令人遗憾的是，清单价格是一个奇怪的，但最终无关紧要的美国医疗保健。但是，使用涵盖2002-14期间的国家和国家数据集，我们发现了相当大的证据表明，列表价格反映了医院的战略行为，并对患者进行了有意义的影响。具体而言，我们发现列表价格主要在医院和市场内各种各样的，观察到的医院特征良好预测，与患者及其保险公司实际支付的价格正相关。此外，在加利福尼亚州的医院公平定价法案的实施之前和之后的数据分析表明高清单价格从未得到保险的价格增加了付款。但是，清单价格最多是与护理品质的有限关系。

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