Hospital value-based purchasing
Hospital value-based purchasing
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DOI：
10.1002/jhm.2045
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发表时间：
2013-05-01
影响因子：
2.6
通讯作者：
Jena, Anupam B.
中科院分区：
文献类型：
--
作者：
Blumenthal, Daniel;Jena, Anupam B.
医院基于价值的采购（VBP）旨在激励住院提供者提供高价值，而不是高容量的医疗保健。医院通过财政激励提供高价值医疗保健的正式授权标志着医疗保险和医疗补助政策的重要变化。在这篇有关越南船民问题的适时评论中，我们讨论了美国医院报销环境的相关历史变化，这些变化为越南船民问题奠定了基础。我们描述了医疗保险和医疗补助服务中心的VBP计划的结构，重点是哪些医院有资格参与该计划，衡量和激励的具体结果，如何分配奖励和惩罚，以及如何资助该计划。为了预测未来的一些问题，我们强调了VBP成功的一些潜在挑战，并讨论了VBP将如何影响住院护理服务的提供和报销。最后，我们研究如何越南船民计划可能会随着时间的推移而演变。医院医学杂志2013;8：271277。(c)2013医院医学学会
Hospital Value Based Purchasing (VBP) aims to incentivize inpatient providers to delivery high value, as opposed to high volume, health care. The formal mandate of hospitals to provide high value health care through financial incentives marks an important change in Medicare and Medicaid policy. In this opportune review of VBP, we discuss the relevant historical changes in the reimbursement environment of U.S. hospitals that have set the stage for VBP. We describe the structure of the Centers for Medicare and Medicaid Services' VBP program, with a focus on which hospitals are eligible to participate in the program, the specific outcomes measured and incentivized, how rewards and penalties are allocated, and how the program will be funded. In an effort to anticipate some of the issues that lie ahead, we then highlight a number of potential challenges to the success of VBP, and discuss how VBP will impact the delivery and reimbursement of inpatient care services. We conclude by examining how the VBP program is likely to evolve over time. Journal of Hospital Medicine 2013;8:271277. (c) 2013 Society of Hospital Medicine