Patient-Centered Payment for Care of Chronic Conditions

被引：2

作者：

Miller, Harold D. ^{[1
,2
]}

机构：

[1] Ctr Healthcare Qual & Payment Reform, Pittsburgh, PA USA

[2] Ctr Healthcare Qual & Payment Reform, 320 Ft Duquesne Blvd Ste 20J, Pittsburgh, PA 15222 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2023年 / 46卷 / 02期

关键词：

chronic condition care; chronic disease; comanagement; evidence-based care; payment reform; specialist payment; value-based payment; HEALTH;

D O I：

10.1097/JAC.0000000000000455

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Current payment systems make it difficult for both specialists and primary care practices to provide all of the services needed by patients with chronic conditions. "Value-based payment" programs have failed to solve these problems. In a patient-centered payment system, there should be 4 separate payments designed specifically to support each of the phases of chronic condition care: (1) Diagnosis Payment, (2) Care Planning Payment, (3) Initial Condition Management Payment, and (4) Monthly Condition Management Payments. Physicians should be accountable for delivering evidence-based services to patients in each phase of care, and payment amounts should be higher for more complex patients.

引用

页码：89 / 96

页数：8