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A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care.
N C Med J. 2016 Jul-Aug; 77(4):261-4.NC

Abstract

The Patient Protection and Affordable Care Act and the Triple Aim are driving a shift toward value-based care. Significant financial risk is being transferred from commercial insurers and government payers to hospital systems and independent physician groups. Medicare has developed bundled payment programs, but legislative barriers still impede the implementation of value-based health care.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Bruch R
consultant, Triangle Orthopaedic Associates, P.A.; board chair, North Carolina Specialty Hospital; executive committee member, North Carolina Orthopaedic Association; board of councilors member, American Academy of Orthopaedic Surgery; advocacy committee member, The Ortho Forum. R.B. lives in Durham, North Carolina rich.bruch@gmail.com.

MeSH

Accountable Care OrganizationsDelivery of Health CareHealth Care ReformHumansMedicareNorth CarolinaPatient Care BundlesPatient Protection and Affordable Care ActReimbursement MechanismsUnited StatesValue-Based Purchasing

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27422947

Citation

Bruch, Richard. "A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care." North Carolina Medical Journal, vol. 77, no. 4, 2016, pp. 261-4.
Bruch R. A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care. N C Med J. 2016;77(4):261-4.
Bruch, R. (2016). A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care. North Carolina Medical Journal, 77(4), 261-4. https://doi.org/10.18043/ncm.77.4.261
Bruch R. A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care. N C Med J. 2016 Jul-Aug;77(4):261-4. PubMed PMID: 27422947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Sea Change in Medicine: Current Shifts in the Delivery and Payment of Medical Care. A1 - Bruch,Richard, PY - 2016/7/17/entrez PY - 2016/7/17/pubmed PY - 2016/9/2/medline SP - 261 EP - 4 JF - North Carolina medical journal JO - N C Med J VL - 77 IS - 4 N2 - The Patient Protection and Affordable Care Act and the Triple Aim are driving a shift toward value-based care. Significant financial risk is being transferred from commercial insurers and government payers to hospital systems and independent physician groups. Medicare has developed bundled payment programs, but legislative barriers still impede the implementation of value-based health care. SN - 0029-2559 UR - https://www.unboundmedicine.com/medline/citation/27422947/A_Sea_Change_in_Medicine:_Current_Shifts_in_the_Delivery_and_Payment_of_Medical_Care_ DB - PRIME DP - Unbound Medicine ER -