The pilot experience and enlightenment of alternative payment models in the value-based medical payment reform in the United States
10.3760/cma.j.cn111325-20230220-00120
- VernacularTitle:美国价值医疗支付改革中替代支付模式试点经验及其启示
- Author:
Deyu CAI
1
;
Huinan HAN
;
Jiaoyan LI
;
Yao CHEN
;
Huatang ZENG
;
Yuan LIANG
Author Information
1. 华中科技大学同济医学院公共卫生学院社会医学与卫生事业管理系，武汉 430030
- Keywords:
Rate setting and review;
Alternative payment models;
Value-based healthcare;
Accountable care organizations;
Bundled payment
- From:
Chinese Journal of Hospital Administration
2023;39(9):679-683
- CountryChina
- Language:Chinese
-
Abstract:
The pilot project for alternative payment models was originated from the implementation of the 2010 Affordable Care Act in the United States, which aimed to establish a new payment mode to replace the traditional payment based on service fees, thereby achieving the goals of ensuring healthcare quality, reducing healthcare costs, and improving healthcare equity. The pilot projects of alternative payment models included two types: accountable care organizations and bundled payments for care improvement. The authors introduced their profile and implementation effects, analyzed the causes of the current implementation effects, and then proposed enlightenments for the value-based medical payment reform in China, with the aim of providing reference for the construction of a high-quality value based medical service system in China.
