展望:基于价值的补偿已经到来了行为健康吗? 从付款人的角度来看
Stuart L Lustig1, Vikram Shah, Lisa Kay
1Cigna Healthcare, 400 N. Brand St., Glendale, CA 92103, Stuart.lustig@cignahealthcare.com.
The journal of mental health policy and economics
|February 11, 2025
概括
基于价值的补偿 (VBR) 在医疗保健中正在扩大,但心理健康从业者 (MHP) 正在慢慢地采用它. 克服历史障碍,专注于基于测量的护理,可以促进VBR的采用,以改善心理健康结果.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 心理健康服务研究 心理健康服务研究
- 卫生政策分析 卫生政策分析
背景情况:
- 基于价值的报销 (VBR) 在一般医学中很普遍,但在精神卫生从业者 (MHPs) 中未得到充分利用,他们主要使用服务费 (FFS).
- VBR旨在加强四重目标:患者体验,人口健康,降低成本和提供者福祉.
研究的目的:
- 检查VBR在美国心理健康护理中的历史障碍.
- 确定当前的医疗保健趋势,使付款人和MHP之间实现VBR.
- 概述定义质量护理和构建VBR合同的关键考虑因素.
主要方法:
- 分析MHP付款人网络集成的历史挑战.
- 审查心理健康中对VBR的技术和文化障碍.
- 检查基于测量的护理日益增长的证据基础.
- 探索付款人与MHP之间的合作合同策略.
主要成果:
- 过去的VBR实施面临着诸如MHP短缺,缺乏电子记录和数据共享不成熟等障碍.
- 利益相关者团体转向基于测量的护理和宣传正在推动VBR的采用.
- 协作VBR合同可以关注过程指标 (例如,访问,坚持) 和临床结果.
结论:
- 解决历史障碍和利用基于测量的护理对于VBR在心理健康方面至关重要.
- 付款人和MHP应合作设计VBR合同,以激励质量改进.
- VBR提供了一个从FFS过渡的途径,最终改善心理健康护理的提供和结果.
更多相关视频
08:36The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
3.7K
07:05Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents
Published on: September 10, 2018
5.9K
相关概念视频
01:30Health Information Technology and Healthcare Information System
792
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
792
01:21Behavior Modification
124
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
124
01:30Community Based Intervention
29
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
29
01:13Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
01:24Rational Emotive Behavior Therapy
41
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
41
01:28Behaviorism
2.2K
The field of behaviorism was pioneered by figures such as Ivan Pavlov, John B. Watson, and B.F. Skinner fundamentally shifted the focus of psychology to the observable and controllable aspects of human and animal behavior. This shift marked a critical evolution in the discipline, emphasizing scientific rigor and experimental methodology.
The core premise of behaviorism is its focus on observable behavior rather than internal thoughts or feelings. This approach argues that true scientific...
The core premise of behaviorism is its focus on observable behavior rather than internal thoughts or feelings. This approach argues that true scientific...
2.2K