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OHIC Adopts Standards to Improve Health Care Delivery and Payment Systems

机译:OHIC通过标准以改善医疗保健提供和支付系统

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CRANSTON – In a step aligned with Governor Gina M. Rai- mondo's efforts to strengthen the health care system for all Rhode Islanders, Health Insurance Commissioner KATH- LEEN C HITTNER, MD , today adopted standards to signifi- cantly align health care payment methods with efficiency and quality by setting targets for commercial health care payment refor m and for continued investments in the pri- mary care patient centered medical home. These standards stem from the Affordability Standards implemented in 2010 by the Office of the Health Insurance Commissioner (OHIC) to support the agency's mission of improving the affordabil- ity of health insurance for consumers and employers. Beginning in March 2015, OHIC convened two advisory committees to develop recommended plans to expand the use of health care payment methods that reward efficiency and quality, instead of volume, and to increase the per- centage of insurer-contracted primary care practices that are operating as patient-centered medical homes (PCMHs). Upon Commissioner Hittner's approval, the recommended plans became standards which the Commissioner will enforce with the full power of the Office.
机译:克罗斯顿–为了与州长吉娜·莱蒙多(Gina M. Raimondo)努力加强所有罗德岛民的医疗保健体系相一致,健康保险专员凯瑟琳·希特纳(KATHLEEN C HITTNER)医师今天采用了一些标准,以使医疗保健支付方法与通过设定商业医疗支付改革目标以及对以患者为中心的以初级保健为基础的医疗机构的持续投资的目标来提高效率和质量。这些标准源于健康保险专员办公室(OHIC)在2010年实施的负担能力标准,以支持该机构的使命,即提高消费者和雇主对健康保险的承受能力。从2015年3月开始,OHIC召集了两个咨询委员会,以制定建议的计划,以扩大对健康保险支付方法的使用,这些方法可奖励效率和质量,而不是数量,并提高了与保险公司签订合同的初级保健实践的比例作为以患者为中心的医疗之家(PCMH)。经希特纳专员批准后,建议的计划成为专员将在办公室的全部权力下执行的标准。

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