HHS in the United States: the second half of health care payments in 2018 will depend on the quality of medical services

Source: Elsevier January 30, 2015 Sylvia Burwell, Secretary of the U.S Department of health and human services, wrote in the New England Journal of medicine that HHS requires half of medical insurance payments to be free of fee for service by the end of 2018 ）Model, which helps drive the shift to a value and quality based payment model HHS's medium-term goal is to link 30% of healthcare payments to quality or value through alternative payment models by the end of 2016 Ms Burwell talked about three strategies that HHS would adopt The first is to reward hospitals, doctors and other health care providers who provide high-quality medical services, and create a flexible environment with various resources to help them provide high-quality medical services In order to promote this work, the Affordable Care Act provides a variety of alternative payment models, such as medical accountability organizations, patient-centered medical homes and new bundled payment models Looking to the future, Ms Burwell said, HHS plans to establish and test payment models for specialist care, starting with cancer care, and to pay health care providers who coordinate care for patients with chronic diseases The second is nursing coordination and population health HHS plans to invest $800 million to provide on-site support to 150000 doctors to help develop some of the necessary skills and tools to improve medical services and transition to alternative payment models Finally, HHS tries to speed up the availability of data to help clinical decision-making HHS's announcement was supported by the National Quality Forum (NQF) and the American Medical Association (AMA) Christine Cassel, chairman and CEO of NQF In a statement, doctors pointed out that in order for the value based payment model to work, clear and consistent measures should be provided for all health care providers, which can not only promote the improvement of treatment and provide meaningful information for patients, but also have clinical relevance and feasibility for health care providers In a statement, AMA President Robert Wah pointed out that doctors have many ideas to redesign and improve medical services, and we strongly support the reform of medical insurance payment system, including the elimination of defective formula of sustainable growth rate in medical insurance