医疗保险计划中ACO模型评估的第一个十年:系统审查
1Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD, USA.
负责任的护理组织 (ACOs) 在十年内将医疗保险支出减少了28亿美元,而质量没有下降. 未来的ACO模型必须利用经验来降低成本,并在收费服务系统中加强护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 负责任的护理组织 (ACO) 是美国医疗保健提供的一个关键创新.
- 医疗保险和医疗补助服务中心 (CMS) 已经测试了多种ACO模型.
- 这些模型旨在提高护理质量,并降低收费医疗保险受益人的成本.
研究的目的:
- 系统地审查五个CMS-创新中心ACO模型的功能和性能.
- 分析支出表现,组织结构,财务风险,临床医生激励和患者参与.
- 评估ACO对医疗保健支出和质量的整体影响.
主要方法:
- 从五个CMS ACO模型中对评估报告进行系统审查.
- 分析了近600万服务费医疗保险患者十年来的数据.
- 差异分析以评估支出变化和质量结果.
主要成果:
- 在共享储蓄支付后,ACOs估计节省了28亿美元,或3.169亿美元.
- 没有证据表明护理质量下降.
- 支出表现因ACO组织类型而异,管理公司发挥了重要作用.
结论:
- ACO模型在降低医疗保健支出而不会损害质量方面取得了成功.
- 关键主题包括管理结构的影响,财务风险和临床医生激励.
- 未来的ACO开发应该专注于在现有的服务费框架内优化这些元素.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
09:37Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment RMCA in Individuals with Chronic Spinal Cord Injury
Published on: July 19, 2013
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
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:
Nursing Evaluation
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
