Episode-Based Performance Measurement And Payment: Making It A Reality

被引:43
作者
Hussey, Peter S. [1 ]
Sorbero, Melony E. [2 ]
Mehrotra, Ateev [2 ]
Liu, Hangsheng [2 ]
Damberg, Cheryl L. [3 ]
机构
[1] RAND, Arlington, VA USA
[2] RAND, Pittsburgh, PA USA
[3] RAND Corp, Santa Monica, CA USA
关键词
PRIMARY-CARE PHYSICIANS; HEALTH-CARE; MEDICARE; COORDINATION; PAY;
D O I
10.1377/hlthaff.28.5.1406
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
Proposals to use episodes of care as a basis for payment and performance measurement are largely conceptual at this stage, with little empirical work or experience in applied settings to guide their design. Based on analyses of Medicare data, we identified key issues that will need to be considered related to defining episodes and determining which provider is accountable for an episode. We suggest a number of applied studies and demonstrations that would facilitate more rapid movement of episode-based approaches from concept to implementation. [ Health Aff (Millwood). 2009; 28(5):1406-17; 10.1377/hlthaff.28.5.1406]
引用
收藏
页码:1406 / 1417
页数:12
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