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A collaborative product commerce approach to value-based health plan purchasing

机译：一种基于产品的协作商业方法，以基于价值的医疗计划购买

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Purpose - Collaborative product commerce (CPC) techniques are being applied with greater frequency in the health care sector. The purpose of this paper is to explore the potential barriers to their success in influencing cost and quality. Design/methodology/approach - The health care supply chain (SC) is analyzed and five national health initiatives attempting to apply CPC techniques are described. Findings - Five national-level programs designed to improve health care quality and control costs use a variety of CPC techniques to create incentives and/or disincentives to influence suppliers' behavior. Six barriers to success are identified that threaten healthcare CPC initiatives. They include: widespread resistance to change; information system limitations; the Health Insurance Portability and Accountability Act (HIPAA); the required time investment; lack of commitment to CPC principles; and the sustainability of the CPC business model. Research implications/limitations - Investigation into the barriers to success is warranted to develop evidence-based solutions to improve effectiveness of CPC approaches in health care. Practical implications - No national health care initiative to date can be described as an unqualified success in terms of its ability to align the SC. Nevertheless, individually, and to some extent collectively, the aforementioned programs are making some headway. Originality/value - This work is one of the first to present information on how collective CPC efforts are taking shape in health care and to describe key national-level projects currently underway in the field. Such information can offer policymakers and employers insight into how CPC techniques might improve effectiveness in health benefit contracting.
机译：目的-协同产品商务（CPC）技术在医疗保健领域的使用频率越来越高。本文的目的是探索影响其成本和质量的潜在障碍。设计/方法/方法-分析了医疗保健供应链（SC），并描述了五个尝试采用CPC技术的国家卫生计划。调查结果-旨在提高医疗质量和控制成本的五个国家级计划使用各种CPC技术来创建激励和/或激励措施以影响供应商的行为。确定了六大成功障碍，这些障碍威胁到医疗保健CPC计划。它们包括：对变革的广泛抵抗;信息系统的局限性; 《健康保险流通与责任法案》（HIPAA）;所需的时间投资;缺乏对CPC原则的承诺;以及CPC商业模式的可持续性。研究的意义/局限性-必须对成功的障碍进行调查，以开发基于证据的解决方案，以提高CPC保健方法的有效性。实际意义-迄今为止，没有任何一项国家卫生保健计划在协调标准委员会方面具有不合格的成功。然而，上述程序在个别地以及在某种程度上是整体上正在取得进展。原创性/价值-这项工作是第一个提供有关CPC在卫生保健中正在如何形成的信息，并描述该领域目前正在进行的关键国家级项目的信息之一。此类信息可以为决策者和雇主提供有关CPC技术如何提高健康收益合同效力的见解。

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