From Volume To Value: Better Ways To Pay For Health Care
From Volume To Value: Better Ways To Pay For Health Care
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DOI：
10.1377/hlthaff.28.5.1418
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发表时间：
2009-09-01
期刊：
影响因子：
9.7
通讯作者：
Miller, Harold D.
中科院分区：
文献类型：
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作者：
Miller, Harold D.
今天的医疗保健支付系统是基于奖励数量，而不是花费的钱的价值。拟议的两种支付方式，即“按护理阶段支付”和“综合护理支付”（按条件调整收费），可以避免按服务收费和传统收费的问题，从而促进提高质量和降低成本。讨论了针对不同类型患者情况的最合适的支付系统以及解决设计和实施问题的一些方法。尽管新的支付系统是可取的，但许多供应商并没有组织起来接受或使用它们，因此需要过渡方法，如本文中描述的“虚拟捆绑”。[卫生Aff (Millwood).]2009年;28日(5):1418 - 28。10.1377 / hlthaff.28.5.1418]
Payment systems for health care today are based on rewarding volume, not value for the money spent. Two proposed methods of payment, "episode-of-care payment" and "comprehensive care payment" (condition-adjusted capitation), could facilitate higher quality and lower cost by avoiding the problems of both fee-for-service payment and traditional capitation. The most appropriate payment systems for different types of patient conditions and some methods of addressing design and implementation issues are discussed. Although the new payment systems are desirable, many providers are not organized to accept or use them, so transitional approaches such as "virtual bundling," described in this paper, will be needed. [ Health Aff (Millwood). 2009; 28(5):1418-28; 10.1377/hlthaff.28.5.1418]