Practice of Value-based Payment in US.and Its Enlightenment to China
- VernacularTitle:美国按价值支付实践及对我国的启示
- Author:
Qingyuan YU
1
;
Yuchang LI
;
Xinyu DU
;
Yuanli LIU
Author Information
1. 北京协和医学院卫生健康管理政策学院 北京 100730
- Keywords:
US.;
value-based payment;
payment;
medical quality
- From:
Chinese Health Economics
2024;43(7):86-92
- CountryChina
- Language:Chinese
-
Abstract:
The reform of medical insurance payment is a critical part of deepening the medical reform.It plays an important role in guiding the behavior of healthcare providers.The latest progress in the reform of health insurance payment in the US.is the imple-mentation of value-based payment models.The literature research method is applied to review the development of value-based pay-ment practices in the US.It finds the main value-based payment models in the United States are targeted hospitals and physicians as the incentive object,with the characteristics of the combination of reward and punishment,the combination of horizontal and ver-tical evaluation,the continuous improvement of evaluation system,and the full use of information means.On this basis,combined with the national conditions of China,it puts forward four suggestions on establishing effective incentive mechanism,formulating scientific evaluation system,insisting on continuous improvement mechanism and strengthening medical information construction for future reform of medical insurance.
