Department of Orthopaedic Surgery, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, 1250 Waters Place, Bronx, NY, 10461, USA,
Curr Rev Musculoskelet Med. 2012 Dec;5(4):283-9. doi: 10.1007/s12178-012-9138-7.
The goal of Accountable Care Organizations is to improve patient outcomes while maximizing the value of the services provided. This will be achieved through the use of performance and quality measures that facilitate efficient, cost-effective, evidence-based care. By creating a network connecting primary care physicians, specialists, rehabilitation facilities and hospitals, patient care should be maximized while at the same time delivering appropriate value for those services provided. The Medicare Shared Savings Program will financially reward ACOs that meet performance standards while at the same time lowering costs. The orthopaedic surgeon can only benefit by understanding how to participate in and negotiate the complexities of these organizations.
目标管理医疗机构旨在提高患者的治疗效果,同时实现服务价值的最大化。这将通过使用促进高效、经济、基于证据的医疗保健的绩效和质量措施来实现。通过创建一个连接初级保健医生、专科医生、康复设施和医院的网络,应该在为提供的服务提供适当价值的同时,最大化患者的护理。医疗保险共享储蓄计划将对符合绩效标准的 ACO 进行经济奖励,同时降低成本。骨科医生只有通过了解如何参与和协商这些组织的复杂性,才能从中受益。