基于优点的激励支付系统:长期表现和不均的奖励给安全网提供者超过5年
Meng-Yun Lin1, Zhang Zhang2,3, Kathleen Carey4
1Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27101, United States.
Health affairs scholar
|June 12, 2025
概括
医疗保险中的安全网提供者
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
- 基于价值的护理是基于价值的护理.
背景情况:
- 医疗保险基于优点的激励支付系统 (MIPS) 旨在将补偿转移到基于价值的护理.
- MIPS因行政复杂性和潜在的不公平性而受到批评,特别是对于安全网提供商 (SNP).
研究的目的:
- 评估临床医生的MIPS绩效和财务结果.
- 分析SNP与非SNP在MIPS参与和成果方面的差异.
主要方法:
- 对5年的MIPS数据 (2018-2022) 的分析.
- 一致的MIPS参与者的比较,重点是SNP与非SNP.
主要成果:
- 在SNP中,接受MIPS支付的积极调整的可能性增加了31%.
- 尽管SNP的调整率更高,但由于MIPS的基于数量的结构,SNP没有获得更大的累积回报.
- MIPS的财务激励是适度的 (在5年内300美元至4000美元),通常低于行政成本.
结论:
- MIPS的结构为安全网临床医生创造了不平等.
- 政策制定者应该考虑其他模式,比如AMA的数据驱动绩效支付系统,以减少行政负担并确保更公平的奖励.
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