Marino Assessment 3
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Feb 20, 2024
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Uploaded by DoctorMorningTarsier33
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Module 3: Price Transparency in Healthcare Jo-Ann Marino
College of Health & Pharmacy, Husson University
NU740 G17: Pubic Health Policy Issues and Challenges
Debbie Faulk, PhD
October 8, 2023
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Module 3: Price Transparency in Healthcare
Literature Review Matrix
Articles with citation in APA
Format
*Research
Question/PICO(T)
**Purpose/Aim of
the study
Study Method
(i.e., Research
(Quantitative/Qualitative/Mixed)
Meta analysis/Meta
synthesis/Systematic
Integrated Review/ Integrative
Review of the Literature/QI
projects for EBP
Level/Strength of
Evidence (use AACN Levels
of Evidence)
***Population/Sample Size
(only if single study)
Findings/Outcomes
Recommendations
for Future Studies
Han, A., Lee, KH. & Park J. (2022, Nov 5).
The impact of price transparency and competition on hospital costs: a research on all-payer claims databases. BMC Health Serv Res
22, p.1321, https://www.doi.org/10
.1186/s12913-022-
08711-x
To better understand the effectiveness of public reporting with healthcare transparency. Analysis of the impact of transparency policy and competition on hospital costs by taking state operations of all-payer claims
databases (APCDs) as a case of interest
Systemic integrated review; Well-designed
control studies Level B
n/a
Hospitals in the states with APCDs tends to bear higher average operating expenses than those without APCDs, which may indicate that states maintaining higher healthcare expenditures are more attentive to a price transparency initiative and tend to adopt APCDs.
States need to make multifaceted efforts to contain
hospital cost. Further studies on additional policy actions that take market competition into consideration. Patel, NM, Ehrenfeld, JM, Miller, BJ. (2022, Nov). What should “shopping” look like in actual practice? AMA Journal of Ethics
. How is the ethical framework of principlism applied to transparency and what would a “shoppable service” model would demand of clinicians?
To investigate and encourage state, private market, and
federal policy efforts to address what health care costs patients.
Well designed, controlled studies with results that consistently support a specific action, intervention or treatment. Level B
n/a
Benefits of price transparency accrue to patients who generally have high out-of-pocket spending for shoppable services.
Studies focused on “reference pricing” and relationship between transparency and discrimination.
3
24(11): pp1099-1106. https://www.doi.org/10
.1001/2022-11
Pollack H (2022 Nov). Necessity for and limitations of price transparency in American health care. AMA Journal of Ethics
. 24(11); pp1069-1074
Is price transparency a reliable pathway to service delivery and market discipline in real-world patient care?
To take other methods of public regulation, in combination with price transparency,
to make healthcare
more equitable Theory-based evidence from expert opinions without clinical studies to support recommendations Level E
n/a
Public regulation can implement price transparency more reliably and fairly than unilateral action by clinicians and organizations. Future studies on the how flexibility on the supply-side of healthcare marketplaces under political pressure could balance price transparency outcomes Todd, B. (2022, Oct).
Will price transparency lower health care costs?
American Journal of Nursing
122(10): p 14,
https://www.doi.org/10
.1097/01.NAJ.000089
0180.45366.54
Will price transparency lower health care costs? The determine the impact Price Transparency will have on the U.S. health care market in general.
Qualitative studies, integrative review, or randomized control trials with inconsistent results
Level C
n/a
Of hospitals owned by the three largest U.S. hospital systems—HCA Healthcare, Common Spirit
Health, and Ascension—a mere 0.5% were found to be in compliance with the price transparency rule. The impact is still too difficult to predict.
Future studies to determine if insurance premiums actually increase to cover the cost of uploading and updating these large
data files required by
the price transparency rule.
*Reminder that in some research reports/articles the research question may be the problem statement. Also be reminded that nurse-focused clinical research usually has a PICOT formatted question whereas qualitative, mixed and/or quantitative research focused reports may have a question written in interrogatory or declarative formats. **Reminder that the purpose may be the aim or vice versa in some research reports. In other words some articles will not have separate purpose and/or aim statements
*** Reminder that meta-analysis/meta-synthesis and/or systematic Integrated and/or Integrative Review of Literature there is no population or sample as individual studies are being examined
May use small font size so information can fit into table
It is expected that student will use the researcher(s) words from the article (source). There is NO need to use quotation marks. Reminder – the Population is the group as a whole (i.e., nurses, Diabetics, Congestive Health Failure patients, while the sample is the number of participants in the study (i.e., 30; 200, etc.)
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