Payment system reform for Medicaid in New York: comment on 'Achieving cost control, care coordination, and quality improvement through incremental payment system reform'.

摘要

AVERILL ET AL. present an article that proposes an approach to payment system reform that can be implemented immediately. They make a point that changing and improving the healthcare delivery system can happen with incremental changes to current payment system, focusing on behavioral changes that will improve quality and reduce cost. The authors outline 4 basic objectives needed for effective payment reform, including cost control, quality improvement, promotion of coordinated care, and patient education. They further outline 7 payment reforms that enhance the ability of current payment systems to meet the above-mentioned 4 objectives.