Managing the economic challenges in the treatment of heart failure

BMC Cardiovascular Disorders

Nihar R. Desai¹  Larry A. Allen²  Ileana L. Piña³ 

[1] Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, USA;Division of Cardiology, University of Colorado School of Medicine, Aurora, CO, USA;Wayne State University, Detroit, USA;Central Michigan University, Mount Pleasant, MI, USA;Wayne State University, 2627 Fairmount Boulevard, 44106, Cleveland Heights, OH, USA;

关键词: BPCI-advanced;    Heart failure;    Cost-effectiveness;    Telehealth;    Payment models;    Value;   

DOI  :  10.1186/s12872-021-02408-5

来源: Springer

【 摘 要 】

BackgroundTreatment of heart failure is complex and inherently challenging. Patients traverse multiple practice settings as inpatients and outpatients, often resulting in fragmented care. The Center for Medicare and Medicaid Services is implementing payment programs that reward delivery of high-quality, cost-effective care, and one of the newer programs, the Bundled Payment for Care Improvement Advanced program, attempts to improve the coordination of care across practices for a hospitalization episode and post-acute care. The quality and cost of care contribute to its value, but value may be defined in different ways by different entities.ConclusionsThe rapidly changing world of digital health may contribute to or detract from the quality and cost of care. Health systems, payers, and patients are all grappling with these issues, which were reviewed at a symposium at the Heart Failure Society of America conference in Philadelphia, Pennsylvania on September 14, 2019. This article constitutes the proceedings from that symposium.

【 授权许可】

CC BY