Behavioral Health and Health Care Reform Models: Patient-Centered Medical Home, Health Home, and Accountable Care Organization
Behavioral Health and Health Care Reform Models: Patient-Centered Medical Home, Health Home, and Accountable Care Organization
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DOI：
10.1007/s11414-012-9306-y
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发表时间：
2013-01-01
影响因子：
1.9
通讯作者：
Pincus, Harold Alan
中科院分区：
文献类型：
--
作者：
Bao, Yuhua;Casalino, Lawrence P.;Pincus, Harold Alan
关于医疗保健提供和支付改革的讨论在很大程度上对如何将行为健康纳入改革举措保持沉默。本文提请注意四个患者人群定义的严重程度，他们的行为健康状况和保险状况。它讨论了由《平价医疗法案》推广的三种主要模式的潜力和局限性，以服务于有行为健康状况的人群：以患者为中心的医疗之家、医疗补助计划内的健康之家倡议和责任医疗组织。为了将行为健康纳入卫生改革，政策制定者和从业者可以考虑在改革努力中嵌入明确的工具-问责制措施和支付设计-以改善有行为健康需求的患者的护理质量。
Discussions of health care delivery and payment reforms have largely been silent about how behavioral health could be incorporated into reform initiatives. This paper draws attention to four patient populations defined by the severity of their behavioral health conditions and insurance status. It discusses the potentials and limitations of three prominent models promoted by the Affordable Care Act to serve populations with behavioral health conditions: the Patient-Centered Medical Home, the Health Home initiative within Medicaid, and the Accountable Care Organization. To incorporate behavioral health into health reform, policymakers and practitioners may consider embedding in the reform efforts explicit tools-accountability measures and payment designs-to improve access to and quality of care for patients with behavioral health needs.