...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the American College of Radiology: JACR >Identifying Radiology's Place in the Expanding Landscape of Episode Payment Models
【24h】

Identifying Radiology's Place in the Expanding Landscape of Episode Payment Models

机译：识别放射性地位在集发作的扩展景观中

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The current fee-for-service system for health care reimbursement in the United Stated is argued to encourage fragmented care delivery and a lack of accountability that predisposes to insufficient focus on quality as well as unnecessary or duplicative resource utilization. Episode payment models (EPMs) seek to improve coordination by linking payments for all services related to a patient's condition or procedure, thereby improving quality and efficiency of care. The CMS Innovation Center has implemented a broadening array of EPMs. Early models with relevance to radiologists include Bundled Payment for Care Improvement (involving 48 possible clinical conditions), Comprehensive Care for Joint Replacement (involving knee and hip replacement), and the Oncology Care Model (involving chemotherapy). In July 2016, CMS expanded the range of EPMs through three new models with mandatory hospital participation addressing inpatient and 90-day postdischarge care for acute myocardial infarction, coronary artery bypass graft, and surgical hip and femur fracture treatment. Moreover, some of the EPMs include tracks that allow participating entities to qualify as an Advanced Alternative Payment Model under the Medicare Access and CHIP Reauthorization Act (MACRA), reaping the associated reporting and payment benefits. Even though none of the available EPMs are radiology specific, the models will nevertheless likely influence reimbursements for some radiologists. Thus, radiologists should partner with hospitals and other specialties in care coordination through these episode-based initiatives, thereby having opportunities to apply their imaging expertise to help lower spending while improving quality and overall levels of health.
机译：目前联合国医疗保健报销的当前卫生保健偿还额外的服务制度，以鼓励分散的护理交付，缺乏履行质量不足的责任以及不必要或不必要或重复的资源利用。集发作（EPM） CMS创新中心实施了扩大的EPM阵列。与放射科医生相关的早期模型包括捆绑的护理资助（涉及48个可能的临床条件），综合照顾联合更换（涉及膝关节和髋关节置换），以及肿瘤医疗模型（涉及化疗）。 2016年7月，CMS通过强制医院参与的三种新型号扩展了急性医院参与的新型号，急性心肌梗死，冠状动脉旁路移植物和外科髋关节和股骨骨折治疗。此外，一些EPM包括轨道，允许参与实体在Medicare访问和芯片重新授权法（Macra）下作为先进的替代支付模式（Macra），收获相关报告和支付福利。尽管没有任何可用的EPM是具体的放射学特定的，但是该模型可能会影响一些放射科医师的报销。因此，放射科医师应通过这些基于集团的举措与医院和其他专业合作，从而有机会应用其成像专业知识，以帮助降低支出，同时提高质量和整体健康水平。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号