Cromwell J, Dayhoff D A, Thoumaian A H
Health Economics Research, Inc., Waltham, MA 02154, USA.
Health Care Financ Rev. 1997 Fall;19(1):41-57.
In 1991 the Health Care Financing Administration (HCFA) began the Medicare Participating Heart Bypass Center Demonstration, in which hospitals and physicians are paid a single negotiated global price for all inpatient care for heart bypass patients. During the first 27 months of the demonstration, the Government and beneficiaries together saved more than $17 million on bypass surgery in four participating institutions. Average total cost per case fell in three of the four hospitals during the 1990-93 period as the alignment of physician and hospital incentives resulted in physicians changing their practice patterns to shorten stays and reduce costs.
1991年，医疗保健财务管理局（HCFA）启动了医疗保险参与心脏搭桥中心示范项目，在该项目中，医院和医生就心脏搭桥患者的所有住院护理获得单一协商的总费用。在示范项目的前27个月里，政府和受益人在四个参与机构的搭桥手术中共同节省了超过1700万美元。在1990 - 1993年期间，四家医院中有三家医院的平均每例总成本下降，因为医生和医院激励措施的调整促使医生改变了他们的治疗模式，以缩短住院时间并降低成本。
