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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Hospice Value-Based Purchasing Program: A Model Design.

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Value-based purchasing (VBP) links healthcare payments to health outcomes, not service volume. This analysis proposes a VBP model for Medicare Hospice benefits to improve quality and efficiency.

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Area of Science:

  • Health policy analysis
  • Healthcare economics
  • Quality improvement in healthcare

Background:

  • The Affordable Care Act mandates a shift from volume-based to value-based healthcare payment models.
  • Value-based purchasing (VBP) aims to improve care quality and reduce costs by linking reimbursement to health outcomes.
  • In 2014, 20% of Medicare fee-for-service (FFS) payments were linked to VBP, with a goal to reach 90% by 2018.

Purpose of the Study:

  • To propose an adaptable model for value-based purchasing (VBP) within the Medicare Hospice benefit.
  • To align hospice care payments with quality and efficiency metrics.
  • To support the transition towards a healthcare system focused on better care and smarter spending.

Main Methods:

  • Policy analysis of the Medicare Hospice benefit in the context of VBP.
  • Development of a conceptual model for linking hospice payment to quality and efficiency.
  • Evaluation of alignment with Affordable Care Act requirements.

Main Results:

  • The Medicare Hospice benefit is suitable for integration into a VBP framework.
  • An adaptable VBP model can be designed for hospice care.
  • Implementation requires evaluating all Medicare FFS reimbursed items and services for VBP potential.

Conclusions:

  • Integrating hospice care into VBP aligns with national healthcare reform goals.
  • A proposed VBP model for hospice can enhance quality and efficiency.
  • This approach supports the broader transition to value-based healthcare financing.