Funds Flow in the Era of Value-Based Health Care
Funds Flow in the Era of Value-Based Health Care
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DOI：
10.1016/j.jacr.2017.01.008
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发表时间：
2017-06-01
影响因子：
4.5
通讯作者：
Krishnaraj, Arun
中科院分区：
文献类型：
--
作者：
Itri, Jason N.;Mithqal, Ayman;Krishnaraj, Arun
医疗保健改革给医院系统和学术医疗中心（AMC）带来了重大挑战，需要一种新的运营模式来适应报销下降、研究资金减少、市场整合、支付方关注更高质量和更低成本以及患者更大程度分担成本的情况。维护和促进临床护理、研究和教育的三重使命将需要AMC以系统为基础，围绕治理、运营、临床护理和财务进行强有力的协调。资金流是AMC通过医院、医师实践、医学院、本科大学和其他专业学校的联合来维持三重使命的主要机制。本文的目的是讨论当前资金流模式的挑战，资金流对学术和私人执业放射学团体的影响，以及可以增加资金流以支持放射学实践在基于价值的医疗保健时代实现临床，研究和教学任务的策略。
Health care reform is creating significant challenges for hospital systems and academic medical centers (AMCs), requiring a new operating model to adapt to declining reimbursement, diminishing research funding, market consolidation, payers' focus on higher quality and lower cost, and greater cost sharing by patients. Maintaining and promoting the triple mission of clinical care, research, and education will require AMCs to be system-based with strong alignment around governance, operations, clinical care, and finances. Funds flow is the primary mechanism whereby an AMC maintains the triple mission through alignment of the hospital, physician practices, school of medicine, undergraduate university, and other professional schools. The purpose of this article is to discuss challenges with current funds flow models, impact of funds flow on academic and private practice radiology groups, and strategies that can increase funds flow to support radiology practices achieving clinical, research, and teaching missions in the era of value-based health care.