Huang Jeffrey
J Med Pract Manage. 2015 Mar-Apr;30(5):349-53.
Medicare's fee-for-service (FFS) payment model may contribute to unsustainable spending growth. Payers are turning to alternative payment methods. The leading alternative payment model to the FFS problem is bundled payment. The Centers for Medicare & Medicaid Services (CMS) is taking another step to improve healthcare quality at lower cost. The CMS's Center for Medicare and Medicaid Innovation developed four models of bundled payments and 48 discrete clinical condition episodes. Many surgical care procedures are included in the 48 different clinical condition episodes.
医疗保险的按服务收费(FFS)支付模式可能导致支出增长难以为继。支付方正在转向其他支付方式。针对FFS问题的主要替代支付模式是捆绑支付。医疗保险和医疗补助服务中心(CMS)正在采取进一步措施,以更低成本提高医疗质量。CMS的医疗保险和医疗补助创新中心开发了四种捆绑支付模式以及48种不同的临床病症发作情况。48种不同的临床病症发作情况涵盖了许多外科护理程序。