Sukul Devraj, Eagle Kim A
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL, ANN ARBOR, MICHIGAN.
Methodist Debakey Cardiovasc J. 2020 Jul-Sep;16(3):232-240. doi: 10.14797/mdcj-16-3-232.
In an effort to curb excessive health care spending and incentivize high-quality care, many payers have implemented value-based payment reforms designed to pay for the quality rather than the quantity of health care services. Medicare, the largest payer in the United States, has implemented numerous value-based payment policies over the past decade, many of which affect cardiovascular care. In this review, we discuss some of these major nationwide value-based payment reforms as they relate to cardiovascular care and what we may expect in the future from cardiovascular value-based policies.
为了遏制过度的医疗保健支出并激励高质量医疗服务,许多支付方已实施基于价值的支付改革,旨在根据医疗服务的质量而非数量进行支付。美国最大的支付方医疗保险(Medicare)在过去十年中实施了多项基于价值的支付政策,其中许多政策都对心血管疾病护理产生影响。在本综述中,我们将讨论一些与心血管疾病护理相关的主要全国性基于价值的支付改革,以及我们未来可能从心血管疾病基于价值的政策中期待什么。