Stead Stanley W, Merrick Sharon K
Stead Health Group, Inc, 4819 Andasol Avenue, Suite 100, Encino, CA 91316, USA.
American Society of Anesthesiologists, Inc, 905 16th Street, Northwest, Suite 400, Washington, DC 20006, USA.
Anesthesiol Clin. 2018 Jun;36(2):241-258. doi: 10.1016/j.anclin.2018.01.005. Epub 2018 Apr 9.
In a fee-for-service environment, anesthesiologists are paid for the volume of services billed, with little relation to the cost of delivering the services. In bundled payments, anesthesiologists are paid a set fee for an episode of care inclusive of all the anesthesia, pain medicine, and related services for the surgical episode and a period of time after the initial procedure to cover complications and redo procedures. When calculating a bundled payment, all the services typically used by a patient must be counted when calculating both the costs and expected payment.
在按服务收费的环境中，麻醉医生根据所计费的服务量获得报酬，与提供服务的成本关系不大。在捆绑支付模式下，麻醉医生针对一个治疗阶段获得固定费用，该阶段包括手术期间的所有麻醉、疼痛治疗及相关服务，以及初始手术后一段时间以涵盖并发症和再次手术。计算捆绑支付时，计算成本和预期支付时必须计入患者通常使用的所有服务。
