将资本与护理结合起来:在财务回报的同时提供健康价值.
Mark McClellan1,2, Cheryl Pegus1,2
1Mark McClellan, MD, PhD,is the director of the Robert J. Margolis Center for Health Policy and the Margolis Professor of Business, Medicine, and Health Policy at Duke University in Durham, North Carolina, and Washington, DC. He also serves as an independent board member for Alignment Health Care, Cigna, and Johnson & Johnson, and is an advisor for Arsenal Health, Blackstone Life Sciences, CRG, and MITRE Corporation.
私人资本对于医疗保健创新至关重要,但必须不断发展. 采用健康价值投资回报率 (HV-ROI) 确保投资改善患者的结果,获取和成本,使投资者成为真正的健康合作伙伴.
科学领域:
- 医疗保健管理健康管理
- 卫生经济学 卫生经济学
- 投资策略 投资策略
背景情况:
- 私人资本显著推动医疗保健创新,资助数字工具和新护理模式.
- 尽管它具有影响力,但对私人投资与改善结果,获取和降低成本的结合存在怀疑.
- 美国医疗保健系统在2023年将花费4.9万亿美元,其中大部分来自非政府机构,这凸显了私人资本的重要作用.
研究的目的:
- 为私人投资者提供分析健康价值投资回报率 (HV-ROI) 以及投资财务回报率的方法.
- 引导投资者衡量资本部署对护理成果,获取,社区需求和提供者支持的影响,同时管理成本.
- 通过将财务目标与以价值为导向的医疗保健协调,鼓励投资者成为真正的健康合作伙伴.
主要方法:
- 建议在整个投资生命周期中采用HV-ROI实践.
- 嵌入健康价值评估,包括临床结果,获取,负担能力和社区需求.
- 将投资关键绩效指标与患者,提供者和付款人的优先事项协调一致,并建立长期影响的治理.
主要成果:
- 混合融资,结合公共计划,慈善事业和私人投资,对于维持医疗保健创新和扩展解决方案至关重要.
- 私人投资使得远程医疗和诊断等领域的进步成为可能,但由于紧急医疗等领域的激励机制不一致,这也导致了负面结果.
- 通过影响分析和第三方评估,HV-ROI提供了一个嵌入健康价值的框架,促进透明度,问责制和信任.
结论:
- 私人投资必须超越财务回报,融入健康价值,成为医疗保健的真正合作伙伴.
- 实施HV-ROI实践可以使财务目标与改善的患者结果,增强的获取和成本效益保持一致.
- 影响报告的透明度和问责制对于建立合法性和促进投资者与医疗保健提供者之间的信任至关重要.
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