Freeman Dennis S, Manson Lesley, Howard Jeff, Hornberger Joel
Cherokee Health Systems, 2018 Western Avenue, Knoxville, TN, 37921, USA.
Arizona State University, Phoenix, AZ, USA.
J Clin Psychol Med Settings. 2018 Jun;25(2):197-209. doi: 10.1007/s10880-017-9529-4.
The PCBH model of integrated care blends behavioral health professionals into the primary care team, thereby enhancing the scope of primary care and expanding the range of services provided to the patient. Despite promising evidence in support of the model and a growing number of advocates and practitioners of PCBH integration, current reimbursement policies are not always favorable. As the nation's healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration. This article provides an overview of the infrastructure necessary to support PCBH practice; reviews the current PCBH funding landscape; discusses how emerging trends in healthcare financing are impacting the model; and provides a vision for the viability of the PCBH model within the value-based financing of our healthcare system in the future.
整合照护的PCBH模式将行为健康专业人员融入初级保健团队,从而扩大了初级保健的范围,并扩展了为患者提供的服务种类。尽管有支持该模式的有力证据,且PCBH整合的倡导者和从业者数量不断增加,但目前的报销政策并不总是有利的。随着国家医疗保健系统向基于价值的支付模式转变,新的融资策略正在出现,这将进一步支持PCBH整合的可行性。本文概述了支持PCBH实践所需的基础设施;回顾了当前PCBH的资金状况;讨论了医疗保健融资的新趋势如何影响该模式;并展望了PCBH模式在未来我国医疗保健系统基于价值的融资中的可行性。