将药物支出纳入瘤学替代支付模式的影响
Luca Maini, Jacob P Klimek, David C Johnson
1University of North Carolina at Chapel Hill, 5045 Old Clinic Building, CB 7110, Chapel Hill, NC 27599.
开发一种将药品成本纳入替代支付模式 (APM) 的方法,可以改善供应商集团的风险效益平衡. 这项分析表明,在瘤学中包括药物支出APM可能是许多实践中更可取的.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 医疗保健政策 医疗保健政策
背景情况:
- 替代支付模式 (APM) 在医疗保健中越来越多地使用.
- 将药物成本纳入APM为提供者集团带来了挑战和机遇.
- 在APM中评估药物支出的财务影响对于成功实施至关重要.
研究的目的:
- 开发一种方法来评估将药物支出纳入APM的效果.
- 为了确定是否包括药物成本在瘤学APMs提高了风险-收益权衡供应商.
- 引入风险减轻的共享利率,以促进药物成本纳入APM.
主要方法:
- 使用历史数据进行追溯索赔分析.
- 为商业付款人开发瘤病例支付模式.
- 6个月化疗期的特征和风险调整建模.
- 启动以估计含药和不含药的成本变化.
主要成果:
- 每集的成本平均约为10万美元.
- 包括药物成本增加了绝对成本变化,但降低了总成本变化的百分比.
- 将药物纳入APM可以提高供应商集团的风险效益权衡.
- 风险减轻的共享率可以允许将药物纳入没有显著的下行风险.
结论:
- 已经开发了一种方法来评估将药物支出纳入APM的可行性.
- 将药物费用纳入瘤患者的病期支付中可能对许多提供者群体有利.
- 拟议的方法和风险减轻的分享率支持将药物成本纳入APM.
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