问责护理组织的财务表现:为期5年的全国实证分析
Joseph Coyne1, Roee Gutman, Christopher Ferraro
1School of Public Health, Brown University, Providence, Rhode Island.
在医疗保险共享储蓄计划 (MSSP) 中,负责任的护理组织 (ACO) 的财务业绩呈上升趋势. 建立初级保健网络是积极共享储蓄的关键.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 参与医疗保险共享储蓄计划 (MSSP) 的负责任的护理组织 (ACO) 对基于价值的护理至关重要.
- 2020年,67%的ACO产生了积极的共享储蓄,总额约为23亿美元.
研究的目的:
- 从2016年到2020年,检查MSSP内的ACO的财务绩效趋势.
- 确定影响ACO共享储蓄的关键驱动因素.
主要方法:
- 对2016-2020年ACO数据的分析,以每个受益人的共享储蓄作为依赖变量.
- 独立变量包括ACO年龄,风险模型和提供者类型;共变量包括受益人风险评分和付款人类型.
- 数据来源于医疗保险和医疗补助服务中心 (CMS) 公用文件和商业医疗保健数据聚合器.
主要成果:
- ACOs在获得的共享储蓄中表现出平均年增长35%,ACOs实现积极储蓄的比例增加了21%.
- 增加的ACO年龄和双边风险合约与每位受益人更高的共享储蓄有关.
- 初级保健医生显著增加了储蓄,而执业护士/医生助理/临床护士专家的储蓄与减少有关.
结论:
- 建立更广泛的初级保健提供者网络与ACO的积极财务结果相关.
- 建议进行进一步的研究,以调查ACO的特定预防性护理查和病情监测,以告知卫生政策.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
相关概念视频
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Accountability and Responsibility of a Nurse I
Standards of Care I
Accountability and Responsibility of a Nurse II
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
