医生集团实践在医疗保险的捆绑支付模式下获得了巨额奖金,2018-20年
Sukruth A Shashikumar1, Zoey Chopra2, Jason D Buxbaum3
1Sukruth A. Shashikumar, Brigham and Women's Hospital, Boston, Massachusetts.
Health affairs (Project Hope)
|May 6, 2024
概括
医生团体获得了超过4.21亿美元的护理改进先进模式 (BPCI-A) 激励支付. 更高的目标价格与更大的奖金相关,特别是在COVID-19大流行期间.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医疗支付模式 医疗支付模式
背景情况:
- 综合支付改善护理先进模式 (BPCI-A) 是一个自愿的医疗保险支付模式.
- 它鼓励提供者将基于病例的医疗保健支出降低到目标价格以下.
- 在BPCI-A内的医生团体的财务表现需要进一步调查.
研究的目的:
- 分析参与BPCI-A计划的医生团体的财务结果.
- 了解医生团体收到的目标价格和激励支付之间的关系.
- 评估COVID-19大流行对医生团体BPCI-A绩效的影响.
主要方法:
- 分析医生团体在BPCI-A (2018-20年) 的前四个绩效期间获得的激励支付.
- 检查目标价格水平与每集调和支付之间的关联.
- 在COVID-19流行病的最初一年之前和期间,平均每集奖金的比较.
主要成果:
- 从2018年到2020年,医生团体总共获得了4.21亿美元的激励支付.
- 目标价格分值和每次平均调和支付之间观察到正相关性.
- 在COVID-19流行病的第一年,每集平均奖金从815美元大幅增加到2,736美元.
结论:
- 医生团体通过BPCI-A计划获得了大量收入.
- 目标价格的准确性和计划规则是影响捆绑支付模式财务成功的关键因素.
- 建议对政策进行调整,以优化BPCI-A模型和未来的医疗保险和医疗补助服务中心的捆绑支付计划.
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