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医生报销:从按服务收费到《医疗保险和医疗救助法案》、基于绩效的激励支付系统和高级替代支付模式。

Physician Reimbursement: From Fee-for-Service to MACRA, MIPS and APMs.

作者信息

Miller Phillip, Mosley Kurt

出版信息

J Med Pract Manage. 2016 Mar-Apr;31(5):266-9.

PMID:27249873
Abstract

To a significant degree, "healthcare reform" is a movement to change how both physicians and healthcare facilities are compensated, with value replacing volume as the key compensation metric. The goal of this movement has not yet been accomplished, but the process is accelerating. In this article, we track how the arc of physician compensation is bending, how the Medicare Access and CHIP Reauthorization Act will drive further changes to physician compensation models, and how these changes may affect physician practice patterns and physician staffing in the future.

摘要

在很大程度上,“医疗改革”是一场旨在改变医生和医疗机构薪酬支付方式的运动,价值取代数量成为关键的薪酬衡量标准。这一运动的目标尚未实现,但进程正在加速。在本文中,我们追踪医生薪酬的变化轨迹、《医疗保险准入与儿童健康保险计划再授权法案》将如何推动医生薪酬模式的进一步变革,以及这些变化未来可能如何影响医生的执业模式和人员配备。

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