Terrell Grace E
founder and strategist, CHESS, High Point, North Carolina
N C Med J. 2016 Jul-Aug;77(4):269-75. doi: 10.18043/ncm.77.4.269.
The April 2015 passage of the Medicare Access and Children's Health Insurance Program Reauthorization Act is accelerating the move of the US health care industry from traditional fee-for-service provider payments to alternative payment methods that are focused on value rather than volume of services. Medicaid, private employers, and consumer groups are also developing similar payment models. Learning from the experience of the 27 early accountable care organizations in North Carolina, such as Cornerstone Health Care, will help to accelerate the transformation that will be necessary across the health care delivery ecosystem in our state.
2015年4月通过的《医疗保险可及性与儿童健康保险计划再授权法案》正在加速美国医疗行业从传统的按服务付费模式向以价值而非服务量为重点的替代支付方式转变。医疗补助计划、私人雇主和消费者团体也在开发类似的支付模式。借鉴北卡罗来纳州27个早期责任医疗组织（如基石医疗保健公司）的经验，将有助于加速我们州医疗服务生态系统全面转型所需的变革。
