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Insufficient Sleep and Sleep Deprivation01:13

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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
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Value and Payment in Sleep Medicine.

Emerson M Wickwire1,2, Tilak Verma3

  • 1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|May 9, 2018
PubMed
Summary

Understanding the economic value of sleep medicine is crucial. This review covers historical payment models and proposes future value-based care strategies to enhance sleep service recognition and reimbursement.

Keywords:
alternative payment modelshealth economicshome sleep apnea testspopulation healthvalue-based medicine

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Area of Science:

  • Sleep Medicine
  • Health Economics
  • Healthcare Policy

Background:

  • The perceived value of clinical sleep medicine services has evolved significantly over time.
  • Historical payment models have influenced the integration and accessibility of sleep care.
  • The rise of home sleep apnea testing has disrupted traditional service delivery and reimbursement.

Purpose of the Study:

  • To provide a historical context for the value and payment of sleep medicine services.
  • To analyze the economic perspectives, including cost containment and cost-shifting, within sleep medicine.
  • To propose strategies for maximizing the perceived value of sleep medicine and explore future payment models.

Main Methods:

  • Historical review of payment and value in sleep medicine.
  • Economic analysis of cost-shifting dynamics among stakeholders.
  • Exploration of alternative payment models and value-based care principles.

Main Results:

  • Sleep medicine's value perception is subjective and influenced by historical economic factors.
  • Cost-shifting between payers, employers, providers, and patients impacts service accessibility.
  • Transitioning to value-based care models is essential for future sustainability.

Conclusions:

  • Sleep medicine providers must actively work to increase the perceived value of their services.
  • Adoption of alternative payment models and value-based care is critical for the future of sleep medicine.
  • Integrated health delivery networks can benefit from embracing value-based sleep care principles.