Crook Hannah, Whitaker Rebecca, Bleser William, Saunders Robert, McClellan Mark B
research assistant, Duke-Margolis Center for Health Policy, Durham, North Carolina
managing associate, Duke-Margolis Center for Health Policy, Durham, North Carolina.
N C Med J. 2020 Nov-Dec;81(6):381-385. doi: 10.18043/ncm.81.6.381.
The Affordable Care Act played a major role in transitioning American health care away from fee-for-service payment. We explore the spread of payment reforms since the implementation of the ACA, both nationally and in North Carolina; the corresponding effects on health care costs and quality; and further steps needed to achieve greater transformation.
《平价医疗法案》在美国医疗保健从按服务收费支付方式的转变中发挥了重要作用。我们探讨了自《平价医疗法案》实施以来,全国及北卡罗来纳州支付改革的推广情况;对医疗保健成本和质量的相应影响;以及实现更大变革所需的进一步措施。