Schlackman N
U.S. Healthcare, Blue Bell, PA.
Physician Exec. 1990 Sep-Oct;16(5):13-7.
The ultimate challenge in dealing with any type of risk incentive system is to be able to integrate the quality of care and the cost of care into an equitable system and to monitor the system and detect either barriers to care or the withholding of appropriate services. We believe it is possible to do this and have based our incentive model upon this premise. At U.S. Healthcare, we have been successful in developing some measures of quality in the ambulatory setting and have tied the measurements to our payment mechanism.
应对任何类型的风险激励系统的最大挑战在于，要能够将医疗质量和医疗成本整合到一个公平的系统中，并对该系统进行监测，发现医疗障碍或适当服务的扣留情况。我们相信这是可以做到的，并基于这一前提建立了我们的激励模型。在美国医疗保健公司，我们已成功制定了一些门诊环境中的质量衡量标准，并将这些衡量标准与我们的支付机制挂钩。
