医学领域的巨变：当前医疗服务提供与支付方式的转变

A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care.

作者信息

Bruch Richard

机构信息

consultant, Triangle Orthopaedic Associates, P.A.; board chair, North Carolina Specialty Hospital; executive committee member, North Carolina Orthopaedic Association; board of councilors member, American Academy of Orthopaedic Surgery; advocacy committee member, The Ortho Forum. R.B. lives in Durham, North Carolina

出版信息

N C Med J. 2016 Jul-Aug;77(4):261-4. doi: 10.18043/ncm.77.4.261.

DOI:10.18043/ncm.77.4.261

PMID:27422947

Abstract

The Patient Protection and Affordable Care Act and the Triple Aim are driving a shift toward value-based care. Significant financial risk is being transferred from commercial insurers and government payers to hospital systems and independent physician groups. Medicare has developed bundled payment programs, but legislative barriers still impede the implementation of value-based health care.

摘要

《患者保护与平价医疗法案》以及“三重目标”正在推动向基于价值的医疗转变。巨大的财务风险正从商业保险公司和政府支付方转移至医院系统和独立医生团体。医疗保险已制定了捆绑支付计划，但立法障碍仍阻碍着基于价值的医疗保健的实施。