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Bundled payment is the of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives), given that risk is shared between payer and provider. Bundled payments have been proposed in the health care reform debate in the United States as a strategy for reducing health care costs, especially during the Obama administration (2009–2016). Commercial payers have shown interest in bundled payments in order to reduce costs. In 2012, it was estimated that approxi

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  • Bundled payment (en)
  • 包括払い制度 (ja)
  • 포괄수가제 (ko)
  • 捆綁式付款 (zh)
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  • 包括払い制度(ほうかつばらいせいど、Bundled payment、Episode-based payment、Episode payment、Episode-of-care payment、Case rate、Evidence-based case rate、Global bundled payment、Global payment、Package pricing、Packaged pricing)とは、それぞれの臨床疾患エピソードごとに治療コストを査定し、それに基づいて病院などの医療サービス提供者に診療報酬を算出して支払う手法。この支払い方式は、病院への入院治療に関わるエピソードについてのものであるが、このエピソードには入院医療だけでなく退院後の外来治療の終了までが含まれる。 この制度は、患者に提供した医療行為ごとに報酬を支払う(fee-for-service)と、患者に提供した医療内容に関わらず定額の報酬を支払う制度(Capitation)の中間に位置づけられる。 (ja)
  • 포괄수가제는 DRG 분류체계를 이용하여 입원환자의 진료비를 보상하는 제도로서 입원기간 동안 제공된 검사, 수술, 등 의료서비스의 종류나 양에 관계없이 어떤 질병의 진료를 위해 입원 했었는가에 따라 미리 책정된 일정액의 진료비를 보상하는 제도이다. 즉, 같은 질병이라도 환자의 중증도에 따라 정해진 가격은 서로 다를수있다. (ko)
  • 捆綁式付款(英語:Bundled payment)"是針對所定義的護理事件產生的費用,給予醫療衛生提供者(例如醫院和醫生)的補償。" 這種支付方式算是介於按服務收費(根據醫療服務提供者的各項服務,逐項付費)和論人計酬付費(向患者的服務提供者作固定"總價"支付,不論提供多少服務)兩者之間的"中間地帶",這種支付方式的概念是付款者和提供者應共同承擔風險。在美國進行的醫療衛生改革辯論中,捆綁式付款的方式被提出,目的在降低醫療衛生成本,這情況在維基百科中歐巴馬執政期間提出的醫療改革方案和患者保護與平價醫療法案兩篇文章中均有描述。商業保險公司對捆綁式付款也表達興趣,希望藉此降低成本。根據一份在2012年的報告,美國醫療衛生費用的報銷裡面,接近有三分之一會使用到某種程度的捆綁式付款方法。 (zh)
  • Bundled payment is the of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives), given that risk is shared between payer and provider. Bundled payments have been proposed in the health care reform debate in the United States as a strategy for reducing health care costs, especially during the Obama administration (2009–2016). Commercial payers have shown interest in bundled payments in order to reduce costs. In 2012, it was estimated that approxi (en)
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  • Bundled payment is the of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives), given that risk is shared between payer and provider. Bundled payments have been proposed in the health care reform debate in the United States as a strategy for reducing health care costs, especially during the Obama administration (2009–2016). Commercial payers have shown interest in bundled payments in order to reduce costs. In 2012, it was estimated that approximately one-third of the United States healthcare reimbursement used bundled methodology. (en)
  • 包括払い制度(ほうかつばらいせいど、Bundled payment、Episode-based payment、Episode payment、Episode-of-care payment、Case rate、Evidence-based case rate、Global bundled payment、Global payment、Package pricing、Packaged pricing)とは、それぞれの臨床疾患エピソードごとに治療コストを査定し、それに基づいて病院などの医療サービス提供者に診療報酬を算出して支払う手法。この支払い方式は、病院への入院治療に関わるエピソードについてのものであるが、このエピソードには入院医療だけでなく退院後の外来治療の終了までが含まれる。 この制度は、患者に提供した医療行為ごとに報酬を支払う(fee-for-service)と、患者に提供した医療内容に関わらず定額の報酬を支払う制度(Capitation)の中間に位置づけられる。 (ja)
  • 포괄수가제는 DRG 분류체계를 이용하여 입원환자의 진료비를 보상하는 제도로서 입원기간 동안 제공된 검사, 수술, 등 의료서비스의 종류나 양에 관계없이 어떤 질병의 진료를 위해 입원 했었는가에 따라 미리 책정된 일정액의 진료비를 보상하는 제도이다. 즉, 같은 질병이라도 환자의 중증도에 따라 정해진 가격은 서로 다를수있다. (ko)
  • 捆綁式付款(英語:Bundled payment)"是針對所定義的護理事件產生的費用,給予醫療衛生提供者(例如醫院和醫生)的補償。" 這種支付方式算是介於按服務收費(根據醫療服務提供者的各項服務,逐項付費)和論人計酬付費(向患者的服務提供者作固定"總價"支付,不論提供多少服務)兩者之間的"中間地帶",這種支付方式的概念是付款者和提供者應共同承擔風險。在美國進行的醫療衛生改革辯論中,捆綁式付款的方式被提出,目的在降低醫療衛生成本,這情況在維基百科中歐巴馬執政期間提出的醫療改革方案和患者保護與平價醫療法案兩篇文章中均有描述。商業保險公司對捆綁式付款也表達興趣,希望藉此降低成本。根據一份在2012年的報告,美國醫療衛生費用的報銷裡面,接近有三分之一會使用到某種程度的捆綁式付款方法。 (zh)
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