Issar Neil M, Jahangir A Alex
*Vanderbilt Law School South, Nashville, TN; and †Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt Orthopaedics, Nashville, TN.
J Orthop Trauma. 2014 Oct;28 Suppl 10:S5-7. doi: 10.1097/BOT.0000000000000211.
The Affordable Care Act has resulted in a dramatic governmental restructuring of the healthcare insurance market and delivery system. Orthopaedic traumatologists must be aware of the law's impact on their clinical practice, finances, and overall business model. This includes the effect of accountable care organizations, the Independent Payment Advisory Board, and the Physician Value-Based Payment Modifier program, as well as the impact of the Affordable Care Act's grace period provision, medical device excise tax, and cuts to funding for the Disproportionate Share Hospital program.
《平价医疗法案》已导致政府对医疗保险市场和医疗服务提供体系进行了重大重组。骨科创伤外科医生必须了解该法律对其临床实践、财务状况和整体商业模式的影响。这包括 accountable care organizations（ accountable care organizations 可直译为“ accountable care organizations”，通常指负责医疗组织，是美国医疗改革中出现的一种新型医疗服务模式，旨在通过整合医疗资源、协调医疗服务，提高医疗质量并控制成本）、独立支付咨询委员会以及基于医生价值的支付调整计划的影响，以及《平价医疗法案》的宽限期规定、医疗器械消费税和对不成比例份额医院项目资金削减的影响。
