负责任的护理组织的特点"喜欢熟练的护理设施网络
Louise Secordel1, Lauren Hajjar, Jennifer Perloff
1Institute for Accountable Care, 2001 L St NW, Ste 500, Washington, DC 20036.
The American journal of managed care
|January 2, 2025
概括
医疗保险负责任护理组织 (ACO) 正在创建首选熟练护理机构 (SNF) 网络,以管理急性后护理质量和成本. 许多ACO在这些网络中面临推和数据共享方面的挑战.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 负责的护理组织 负责的护理组织
背景情况:
- 医疗保险负责任护理组织 (ACO) 旨在提高医疗保健质量并降低成本.
- 熟练护理设施 (SNFs) 在急性后护理中发挥着至关重要的作用.
- 管理从医院到SNF的过渡是医疗保健提供的一个关键挑战.
研究的目的:
- 确定Medicare ACOs开发的首选SNF网络的流行率和特征.
- 确定与这些SNF网络相关的期望和挑战.
主要方法:
- 2019年医疗保险ACO调查的横截面分析.
- 分析了来自138个医疗保险ACO的调查数据.
- 基平方测试比较基于首选的SNF网络使用的ACO.
主要成果:
- 在拥有首选SNF网络的77个ACO中,38%是最近建立的.
- 大多数ACO (91%) 没有为优先的SNF提供金融激励.
- 共同的ACO期望包括数据共享,入学/放学通知,以及达到停留时间目标.
- 关键的挑战涉及到医院出院的做法,SNF对复杂患者的接受以及SNF的质量.
结论:
- 优先的SNF网络是Medicare ACOs用来控制急性后护理支出和质量的策略.
- 需要进一步的研究来了解这些伙伴关系,并评估对齐策略.
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