The Innovation Payment Mode of American Medical Insurance: Analysis on the Implementation Effectiveness and Experience of Bundled Payment
10.7664/CHE20170225
- VernacularTitle:美国医疗保险的创新支付模式:捆绑支付的实施效果与经验分析
- Author:
Hongbing CAI
;
Mengbi WANG
;
Shiwei GONG
- Keywords:
medical insurance;
bundled payment;
Prometheus payment;
United States
- From:
Chinese Health Economics
2017;36(2):94-96
- CountryChina
- Language:Chinese
-
Abstract:
Based on the patient,bundled payment was known as episode-based payment,which pay the overall treatment cost on a or multiple medical service providers.In the current,there were 3 main bundled payment model in the United States,including confirm service,Prometheus and service improvement payment.The series of research showed that,bundled payment could decrease the cost of medical service based on keeping even improving medical service quality.Based on diagnosis related groups (DRGs),bundled payment increased total prepayment control and introduced the calculation method on cost prepayment ratio and potential avoidable allowance and reward for complication.The cost control based on the evidence and the incentive mechanism based on the encourage were all worth for references.
