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新的支付模式:2015 年《平价医疗法案》和儿童健康保险计划再授权法案、基于绩效的激励支付制度、高级替代支付模式、捆绑式支付、基于价值的医疗保健、四重目标和大数据:它们对耳鼻喉科意味着什么?

New Payment Models: The Medicare Access and CHIP Reauthorization Act of 2015, Merit-based Incentive Payment System, Advanced Alternative Payment Models, Bundling, Value-Based Care, Quadruple Aim, and Big Data: What Do They Mean for Otolaryngology?

机构信息

St. Cloud Ear, Nose & Throat Clinic, PA, 1528 Northway Drive, St. Cloud, MN 56303, USA.

出版信息

Otolaryngol Clin North Am. 2022 Feb;55(1):115-124. doi: 10.1016/j.otc.2021.07.009.

Abstract

New payment models have been introduced by the Centers for Medicare and Medicaid Services to move medicine away from volume-based care toward value-based care. Most models focus on changes for primary care, but specialists like otolaryngologists are wise to familiarize themselves with this changing payment landscape to take advantage of the opportunities and avoid the pitfalls associated with each model.

摘要

美国医疗保险和医疗补助服务中心(Centers for Medicare and Medicaid Services)引入了新的支付模式,将医学从基于数量的护理转向基于价值的护理。大多数模式都集中在初级保健方面的改变,但耳鼻喉科等专家明智的做法是熟悉这种不断变化的支付环境,以利用其中的机会,并避免与每种模式相关的陷阱。

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