Reynolds Max
University of California, USA.
Healthc Financ Manage. 2011 Jul;65(7):48-52, 54, 56.
Hospitals and health systems should assess the risks of participation in Medicare's Shared Savings Program before deciding whether to participate: Start-up costs will likely be prohibitive. The ACO will lack key tools needed to drive down unnecessary medical costs. Participating providers would have to accept significant downside risk for costs over which they have no control. ACOs generating significant savings in a program year would still face numerous preconditions to-and limitations on-payment.
医院和医疗系统在决定是否参与医疗保险共同储蓄计划之前，应评估参与风险：启动成本可能过高。负责协调医疗的组织（ACO）将缺乏降低不必要医疗成本所需的关键工具。参与的医疗服务提供者将不得不承担他们无法控制的成本方面的重大下行风险。在一个计划年度中实现显著节约的ACO仍将面临支付方面的众多前提条件和限制。
