Hosp Case Manag. 2012 Aug;20(8):113-5.
The move toward value-based purchasing by the Centers for Medicare & Medicaid Services means that hospitals need to focus on overall quality improvement rather than limiting their efforts to just a few conditions. To keep the initiative budget neutral, CMS is reducing the base operating DRG payment for all Medicare fee-for-service discharges, but hospitals can earn bonuses by performing well. CMS intends to add more measures in the future and can include any measures already being tracked in the Inpatient Quality Reporting Program. Medicare spending per beneficiary will be part of value-based purchasing in fiscal 2015 and will hold hospitals accountable for costs incurred by patients beginning three days before admission to 30 days after discharge.
医疗保险和医疗补助服务中心向基于价值的采购模式转变，这意味着医院需要专注于整体质量提升，而不是仅将努力局限于少数病症。为使该倡议在预算上保持中立，医疗保险和医疗补助服务中心正在降低所有医疗保险按服务付费出院病例的基础运营诊断相关分组支付费用，但医院表现出色可获得奖金。医疗保险和医疗补助服务中心打算在未来增加更多衡量标准，并且可能纳入住院质量报告计划中已在追踪的任何标准。2015财年，每位受益人的医疗保险支出将成为基于价值采购的一部分，医院要对患者从入院前三天到出院后30天产生的费用负责。
