美国数位医疗解决方案的成长机会，以实现基于价值的护理

Growth Opportunities in US Digital Health Solutions as an Enabler for Value-based Care

出版日期: 2023年12月19日 | 出版商:

Frost & Sullivan | 英文 53 Pages | 商品交期: 最快1-2个工作天内

价格

简介目录

稳健的投资和颠覆性创新将改变护理服务

根据医疗保险和医疗补助服务中心 (CMS) 的说法，基于价值的护理 (VBC) 计划根据医疗保健提供者向医疗保险患者提供的护理品质向他们提供奖励。

这些计划是 CMS 改革医疗保健服务和支付的品质策略的一部分。以价值为基础的计画支持三个目标：为个人提供更好的照护、为人群提供更好的健康、降低照护成本。本研究分析了支持 VBC 计划的支付者和提供者（包括医生诊所和医院）的数位健康解决方案。我们排除针对生命科学、製药公司和上市公司的解决方案。评估目标仅限于美国，基于CMS来考虑概念。

本研究涵盖了 CMS 基于价值的计划和支付奖励的现状，包括 ACO REACH、MSSP、MCP 和 AHEAD 模型，以及未来五年的监管更新和成长机会。此外，我们还评估了数位医疗提供者和付款人在数位品质衡量和绩效差距方面的作用，并重点介绍了美国现有企业和新兴企业透过数位医疗解决方案实现 VBC 的最佳实践。

分析范围
市场区隔
付款奖励- CMS VBC 模型
付款奖励-责任医疗模式
付款奖励-责任医疗模式：医疗保险共享储蓄计划 (MSSP)
付款奖励-责任医疗模型：ACO 实现公平、获取和社区健康 (ACO REACH) 模型
付款奖励-责任医疗模式
支付奖励－特定疾病和基于事件的模型
付款奖励- 2015 年医疗保险准入和 CHIP 再授权法案 (MACRA)：基于绩效的激励付款系统 (MIPS)
付款奖励- MACRA：替代付款模式 (APM)
VBC程序和帐单
如何衡量品质
如何衡量品质 - 医疗保健品质的 6 个优先事项
如何衡量品质－数位健康的作用
如何衡量品质－付款人的角色
解决绩效衡量方面的差距
美国现有企业和新兴企业透过数位健康解决方案支持 VBC
生长促进因子
成长抑制因素

成长机会宇宙

成长机会 1：数字品质指标 (dQM) 标准化
成长机会 2：投资行为健康与远端保健
成长机会三：中小型诊所需求
成长机会 4：针对医师倦怠的生成式人工智慧
图表列表
免责声明

简介目录

Product Code: K965-48

"Robust Investments and Disruptive Technological Innovation Transforming Care Delivery."

According to the Centers for Medicare and Medicaid Services (CMS), value-based care (VBC) programs reward healthcare providers with incentive payments for the quality of care they provide Medicare patients.

These programs are part of its larger CMS quality strategy to reform healthcare delivery and payment. Value-based programs support 3 aims: better care for individuals, better health for populations, and lower cost of care. This study analyzes digital health solutions for payers and providers (including physician practices and hospitals) that enable VBC programs. It excludes solutions targeting life sciences, pharmaceutical companies, and the public sector. Evaluations are exclusive to the United States, with concept considerations based on the CMS.

The study addresses the current status of value-based programs and payment incentives by CMS, such as ACO REACH, MSSP, MCP, and AHEAD models, alongside regulatory updates and growth opportunities for the next five years. It additionally assesses the role of digital health providers and payers in digital quality measurements and performance gaps, showcasing best practices from established US companies and start-ups enabling VBC through digital health solutions.

Strategic Imperatives

Why is it Increasingly Difficult to Grow?
The Strategic Imperative 8™
The Impact of the Top 3 Strategic Imperatives on the US Value-based Care (VBC) Industry
Growth Opportunities Fuel the Growth Pipeline Engine™

Growth Opportunity Analysis

Scope of Analysis
Market Segmentation
Payment Incentives-CMS VBC Models
Payment Incentives-Accountable Care Models
Payment Incentives-Accountable Care Models: Medicare Shared Savings Program (MSSP)
Payment Incentives-Accountable Care Models: ACO Realizing Equity, Access, and Community Health (ACO REACH) Model
Payment Incentives-Accountable Care Models
Payment Incentives-Disease-specific and Episode-based Models
Payment Incentives-Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): Merit-based Incentive Payment System (MIPS)
Payment Incentives-MACRA: Alternative Payment Models (APMs)
VBC Programs and Legislation
How to Measure Quality?
How to Measure Quality?-The 6 Healthcare Quality Priorities
How to Measure Quality?-Digital Health's Role
How to Measure Quality?-Payer's Role
Addressing Gaps in Performance Measurement
Established US Companies and Start-ups Enabling VBC through Digital Health Solutions
Growth Drivers
Growth Restraints