俄勒冈州医院支付上限导致医院设施价格下降。

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-03-01 DOI:10.1377/hlthaff.2023.01021
Roslyn C Murray, Zach Y Brown, Sarah Miller, Edward C Norton, Andrew M Ryan
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引用次数: 0

摘要

商业保险参保者的住院价格很高,而且差别很大,这促使各州寻求控制医院价格增长的方法。2019 年 10 月,俄勒冈州雇员医疗保险计划设立了医院支付上限。利用俄勒冈州所有支付方所有索赔报告计划数据库中的 2014-21 年数据,我们进行了差异分析,以检验上限对俄勒冈州雇员计划参保者医院设施价格的影响。我们发现,在整个实施期间,上限并未显著降低住院设施的价格(每次住院-901.9 美元),但在实施后的第二年却显著降低了价格(-2774.20 美元)。在政策实施后的前二十七个月中,上限与门诊设施价格的大幅下降有关(每次手术-130.50 美元)。我们估计,在头两年中,州雇员计划节省了 1.075 亿美元(占计划总支出的 4%)。医院支付上限成功降低了该计划参保者的医院价格。
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Hospital Facility Prices Declined As A Result Of Oregon's Hospital Payment Cap.

Hospital prices for commercially insured people are high and vary widely, prompting states to seek ways to control hospital price growth. In October 2019, the Oregon state employee health insurance plan instituted a cap on hospital payments. Using 2014-21 data from the Oregon All Payer All Claims Reporting Program database, we performed a difference-in-differences analysis to test the impact of the cap on hospital facility prices for Oregon's state employee plan enrollees. We found that the cap was not associated with a significant reduction in inpatient facility prices across the post period (-$901.9 per admission) but was associated with a significant reduction in the second year after implementation (-$2,774.20). The cap was associated with a significant reduction in outpatient facility prices over the course of the first twenty-seven months of the policy (-$130.50 per procedure). We estimated $107.5 million (or 4 percent of total plan spending) in savings to the state employee plan during the first two years. The hospital payment cap successfully reduced hospital prices for enrollees in that plan.

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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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