Newhouse Joseph P
Harvard University, Boston, MA 02115, USA.
Health Care Financ Rev. 2005;27(2):35-44.
Medicare uses a variety of administered price systems to pay health care providers. In setting the amounts it pays, it faces significant challenges both to avoid distorting the care patients receive and not to overpay. This article describes issues in paying physicians, post-acute care providers, and health plans, all areas of recent ferment that are likely to see continued change. The conclusion remarks on the prescription drug benefit and the possibility of paying higher quality providers additional amounts.
医疗保险采用多种定价系统来向医疗服务提供者支付费用。在确定支付金额时，它面临着重大挑战，既要避免扭曲患者接受的治疗，又不能过度支付。本文描述了在向医生、急性后期护理提供者和健康计划支付费用方面存在的问题，所有这些领域最近都处于动荡之中，很可能会持续发生变化。结论部分评论了处方药福利以及向质量更高的提供者支付额外费用的可能性。
