Economic factors in the future delivery of spinal healthcare
Economic factors in the future delivery of spinal healthcare作者机构：Department of Orthopaedic Surgery Rush University Medical Center
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2015年第6卷第5期
页 面：409-412页
学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学]
基 金：DePuy Zimmer Stryker Globus
主 题：Affordable care act Spine surgery Economics Future Access Payments Reimbursement
摘 要：The current trajectory of healthcare-related spending in the United States is unsustainable. Currently, the predominant form of reimbursement is the form of a fee-for-service system in which surgeons are reimbursed for each discrete unit of care provided. This system does factor the cost, quality, or outcomes of service provided. For the purposes of cost containment, the bundled episode reimbursement has gainedpopularity as a potential alternative to the current feefor-service system. In the newer model, the spinal surgeon will become increasingly responsible for controlling costs. The bundled payment system will initially offer financial incentives to initiate a meaning-ful national transition from the fee-for-service model. The difficulty will be ensuring- that the services of surg-eons continue to be valued past this initiation period. However, g-reater financial responsibilities will be placed upon the individual surgeon in this new system. Over time, the evolving interests of hospital systems could result in the devaluation of the surgeons services. Significant cooperation on behalf of all involved healthcare providers will be necessary to ensure that quality of care does not suffer while efforts for cost containment continue.
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