美國眾議院委員會召開衛生系統執行長聽證會
US House Committee Holds Hearing with Health System CEOs
2026年4月28日，美國眾議院籌款委員會召開聽證會，旨在審查不斷攀升的醫療成本。
On April 28, 2026, the US House Committee on Ways and Means began a hearing to examine the rising costs of healthcare.
繼先前對保險公司和藥品福利管理機構的調查後，本次會議將焦點鎖定在醫院定價及大型醫療系統的影響力上。
This session targets hospital pricing and the influence of major health systems, following a previous inquiry into insurance companies and pharmacy benefit managers.
由於醫院開支佔美國總醫療成本的31%，議員們正質詢來自HCA Healthcare、CommonSpirit Health、New York-Presbyterian以及ECU Health等機構的領導人。
With hospital spending accounting for 31% of total US healthcare costs, lawmakers are questioning leaders from HCA Healthcare, CommonSpirit Health, New York-Presbyterian, and ECU Health.
會議的核心重點在於市場整合，數據顯示，在83%的都會區中，少數幾家系統掌握了多數市場。
A primary focus is market consolidation, as data shows that in 83% of metropolitan areas, a few systems control the majority of the market.
委員會同時也在討論「場地中立」支付政策，此舉或能透過統一報銷費率來降低成本。
The committee is also discussing 'site-neutral' payments, which could lower costs by standardizing reimbursement rates.
此外，官員們正嚴格檢視非營利醫院是否提供了足夠的慈善護理，以證明其享有免稅地位的合理性。
Furthermore, officials are scrutinizing whether non-profit hospitals provide enough charity care to justify their tax-exempt status.
此項立法工作符合政府提高透明度並將控制權轉交給病患的目標。
This legislative effort aligns with the administration's goal of increasing transparency and shifting control to patients.
在醫院與保險業者間激烈的遊說角力下，共和黨與民主黨正尋求解決負擔能力危機的方案，儘管雙方對於根本原因及優先採取的監管干預措施往往意見不一。
Amid intense lobbying efforts between hospitals and insurers, both Republicans and Democrats are seeking solutions to address the affordability crisis, though they often disagree on the root causes and preferred regulatory interventions.
