“The Coming Changes in Neurosurgical Practice”: A Supplement to Neurosurgery

摘要

Copyright © 2016 by the Congress of Neurological SurgeonsHealthcare, Quality, Affordable Care Act, ACO, Hospitals, Resident, Education...US healthcare is in the midst of a transformation driven by 2 assumptions: the system is wasteful and patients are receiving low “value” for the dollars spent; and health status, quality of care, patient safety, “appropriateness,” and long-term outcomes can be accurately measured. As a result, important changes are underway.Shift 1: From single-episode care and fee for service (with most patients able to engage many providers and systems) to management of groups of patients by a single healthcare entity (with responsibility for both outcomes and cost). The extent of change will vary nationally, but for the foreseeable future, we will have both episodic care and population health.Shift 2: Fee-for-service payments will increasingly be tied to both administrative (eg, meaningful use) and quality performance...