重新思考医疗保险质量支付调整
Rethinking Medicare Payment Adjustments for Quality.
作者信息
Averill Richard F, Fuller Richard L, McCullough Elizabeth C, Hughes John S
机构信息
The Hesperium Group, LLC, Seymour, Connecticut (Mr Averill); 3M Health Information Systems, Silver Spring, Maryland (Mr Fuller and Ms McCullough); and Yale University School of Medicine, New Haven, Connecticut (Dr Hughes).
出版信息
J Ambul Care Manage. 2016 Apr-Jun;39(2):98-107. doi: 10.1097/JAC.0000000000000137.
Payment reforms aimed at linking payment and quality have largely been based on the adherence to process measures. As a result, the attempt to pay for value is getting lost in an overly complex attempt to measure value. The "Incentivizing Health Care Quality Outcomes Act of 2014" (HR 5823) proposes to replace the existing patchwork of process and outcomes quality measures with a uniform, coordinated, and comprehensive outcomes-based quality measurement system. The Outcomes Act represents a shift in payment policy toward getting value instead of an increasingly complex attempt to measure value.
旨在将支付与质量挂钩的支付改革主要基于对过程指标的遵循。结果，为价值付费的尝试在过于复杂的价值衡量尝试中迷失了方向。《2014年激励医疗保健质量结果法案》（HR 5823）提议用一个统一、协调且全面的基于结果的质量衡量系统取代现有的过程和结果质量指标拼凑体系。《结果法案》代表了支付政策向获取价值的转变，而非日益复杂的价值衡量尝试。
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