Achieving Cost Control, Care Coordination, and Quality Improvement Through Incremental Payment System Reform
Achieving Cost Control, Care Coordination, and Quality Improvement Through Incremental Payment System Reform
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DOI：
10.1097/jac.0b013e3181c9f437
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发表时间：
2010-01-01
影响因子：
2.3
通讯作者：
Eisenhandler, Jon
中科院分区：
文献类型：
--
作者：
Averill, Richard F.;Goldfield, Norbert I.;Eisenhandler, Jon
如果不同时控制医疗费用，就无法实现提高资格和覆盖率的医疗改革目标。对现有支付系统的改革可以为提供者提供财政激励，以更协调和更有效的方式提供护理，同时对现有支付者和提供者的基础设施进行最小的改变。按绩效付费、最佳实践定价、价格折扣、激励措施调整、医疗之家、按发作付费和提供者绩效报告是一系列支付改革，可以降低成本、更好地协调护理、提高护理质量和增加消费者参与。这些改革可以立即产生医疗保险每年节省100亿美元，并通过建立长期提供者行为改变的财务激励机制来建立未来节省的框架，从而降低成本。
The healthcare reform goal of increasing eligibility and coverage cannot be realized without simultaneously achieving control over healthcare costs. The reform of existing payment systems can provide the financial incentive for providers to deliver care in a more coordinated and efficient manner with minimal changes to existing payer and provider infrastructure. Pay for performance, best practice pricing, price discounting, alignment of incentives, the medical home, payment by episodes, and provider performance reports are a set of payment reforms that can result in lower costs, better coordination of care, improved quality of care, and increased consumer involvement. These reforms can produce immediate Medicare annual savings of $10 billion and create the framework for future savings by establishing financial incentives for long-term provider behavior changes that can lead to lower costs.