Auburn University, Auburn, Alabama.
J Healthc Manag. 2018 Jul-Aug;63(4):242-250. doi: 10.1097/JHM-D-18-00078.
The U.S. healthcare industry has seen a sharpened focus on delivering value-based care. To accomplish this, providers have turned their attention toward high-risk patients who are in frequent contact with the healthcare system. Specific attention has been given to Medicaid patients, who make up a majority of the high-risk population. Providers are implementing new approaches and strategies to improve the quality of healthcare and lower the cost for high-risk Medicaid patients. This essay highlights how the implementation of community care teams (CCTs) can improve quality and lower costs for these patients. Through discussion of the success at Community Care North Carolina, other states can understand the impact CCTs have on high-risk Medicaid patients by delivering value-based care, improving quality, and lowering costs.
美国医疗保健行业更加注重提供基于价值的医疗服务。为了实现这一目标，医疗机构将注意力转向经常与医疗保健系统接触的高风险患者。特别关注的是医疗补助计划（Medicaid）患者，他们占高风险人群的大多数。医疗机构正在实施新的方法和策略，以提高医疗保健质量并降低高风险医疗补助计划患者的成本。本文重点介绍了社区护理团队（CCTs）的实施如何为这些患者提高质量并降低成本。通过讨论北卡罗来纳州社区保健的成功经验，其他州可以了解社区护理团队通过提供基于价值的医疗服务、提高质量和降低成本对高风险医疗补助计划患者产生的影响。
