Barinaga Gonzalo, Chambers Monique C, El-Othmani Mouhanad M, Siegrist Richard B, Saleh Khaled J
Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
Harvard T.H. Chan School of Public Health, Harvard University, 677 Huntington Ave, Boston, MA 02115, USA.
Orthop Clin North Am. 2016 Oct;47(4):707-16. doi: 10.1016/j.ocl.2016.05.013. Epub 2016 Aug 10.
Under the Patient Protection and Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services' Innovation was chartered to develop new models of health care delivery. The changes meant a drastic need to restructure the health care system. To minimize costs and optimize quality, new laws encourage continuity in health care delivery within an integrated system. Affordable care organizations provided a model of high-quality care while reducing costs. Bundled payments can have a substantial effect on the national expenditures. This article examines new developments in bundle payments, affordable care organizations, and gainsharing agreements as they pertain to arthroplasty.
根据《患者保护与平价医疗法案》（ACA），医疗保险和医疗补助服务中心的创新部门被授权开发新的医疗服务模式。这些变革意味着迫切需要对医疗体系进行重组。为了将成本降至最低并优化质量，新法律鼓励在综合体系内实现医疗服务的连续性。平价医疗组织在降低成本的同时提供了高质量医疗服务的模式。捆绑支付可能会对国家支出产生重大影响。本文探讨了捆绑支付、平价医疗组织以及收益共享协议在关节置换术方面的新进展。
