PDF(Pubmed)
Abstract：
Value-based healthcare payment models are an alternative insurance payment system that compensates healthcare providers based on their patients\' outcomes rather than the individual services healthcare workers provide. This shift from the current fee-for-service model that predominates our medical system has received renewed popularity and attention within organized medicine such as the American Medical Association. Advocates believe that this new payment model will address many of the unsolved issues in healthcare such as medical waste and unsustainable healthcare costs. In practice, however, this model is plagued with a myriad of unresolved issues of its own. In this commentary, we outline these issues and suggest that the intentions of those advocating for value-based payment models are either misguided or disingenuous. We then offer solutions that preserve our current fee-for-service model while making necessary changes that will benefit both physicians and patients nationwide.
摘要：
基于价值的医疗保健支付模式是一种替代保险支付系统，它根据患者的结果而不是医疗保健工作者提供的个人服务来补偿医疗保健提供者。这种从目前主导我们医疗系统的收费服务模式的转变在美国医学协会等有组织的医学中重新受到欢迎和关注。倡导者认为，这种新的支付模式将解决医疗保健中许多尚未解决的问题，如医疗废物和不可持续的医疗保健成本。在实践中,然而,这种模式被其自身无数悬而未决的问题所困扰。在这篇评论中,我们概述了这些问题，并建议那些倡导基于价值的支付模式的人的意图是错误的或不真诚的。然后，我们提供解决方案，保留我们当前的按服务收费模式，同时进行必要的更改，使全国的医生和患者都受益。
