医院策略在以商业事件为基础的报销中
Scott E Regenbogen1, Shelytia Cocroft, Sarah L Krein
1University of Michigan, 2800 Plymouth Rd, Bldg 16, Ann Arbor, MI 48109.
The American journal of managed care
|June 24, 2024
概括
医院使用数据驱动的策略,如护理标准化和再接收预防,以减少支付基于事件的支付计划的支出. 有效的激励措施必须是有利可图的,并允许提高绩效和持续卓越.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗保健经济学
- 提高质量 提高质量
背景情况:
- 基于商业情节的支付计划激励医疗保健提供者管理成本并提高质量.
- 了解医院减少开支的策略对于优化这些支付模式至关重要.
研究的目的:
- 探索医院领导者在商业基于情节的支付举措中减少开支的方法.
- 为设计有效的基于事件的支付激励措施提供信息.
主要方法:
- 一个定性,解释性的顺序混合方法研究.
- 与来自8个不同医院的21名医院领导人进行了半结构化采访.
- 使用快速定性分析,确定与削减开支战略相关的关键主题.
主要成果:
- 医院采用了类似的策略,无论性能水平如何,包括专注于高机会或高效率的临床领域.
- 关键策略包括数据驱动的改进,护理标准化和协议传播.
- 预防再接收和控制急性护理后的支出被确定为最佳实践.
结论:
- 基于事件的支付激励措施应该在财务上具有吸引力,并与现有的联邦计划保持一致.
- 计划应该为提高绩效和持续卓越提供机会.
- 医院和医生之间可能出现的错位需要在激励计划设计中考虑.
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