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首页> 外文期刊>Journal of the American College of Radiology: JACR >The ephemeral accountable care organization - An unintended consequence of the medicare shared savings program
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The ephemeral accountable care organization - An unintended consequence of the medicare shared savings program

机译：临时责任医疗组织-Medicare共享储蓄计划的意外后果

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摘要

A fundamental element of health care payment reform under the Affordable Care Act is the development of Accountable Care Organizations (ACOs). The ACO model employs shared-risk contracts to better align the interests of health care providers and payers with the intent of driving efficiency and quality in care. The Medicare Shared Savings Program is the most popular of the Medicare ACO programs, with over 200 health systems across the nation participating at this time. However, a pitfall in the way that the Medicare Shared Savings Program is structured, specifically the benchmarking and rebasing method, could make it difficult for even top-performing ACOs to achieve sustained success, thereby threatening the long-term viability of the program. In this paper, we present this pitfall to the radiology community as well as potential solutions that can be considered by CMS moving forward.
机译：根据《平价医疗法案》进行的医疗保健支付改革的基本要素是问责医疗组织（ACO）的发展。 ACO模型采用分担风险合同，以更好地调整医疗保健提供者和付款人的利益，以提高医疗服务的效率和质量。 Medicare共享储蓄计划是Medicare ACO计划中最受欢迎的计划，目前全国有200多个卫生系统参与其中。但是，Medicare共享储蓄计划的结构方式（特别是基准测试和重新设定基准）存在一个陷阱，即使是表现最好的ACO也很难获得持续的成功，从而威胁到该计划的长期可行性。在本文中，我们向放射学界介绍了这个陷阱以及CMS可以考虑的潜在解决方案。

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