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市場調查報告書
商品編碼
1420259
美國實現基於價值的護理中數位醫療解決方案的成長機會Growth Opportunities in US Digital Health Solutions as an Enabler for Value-based Care |
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穩健的投資和顛覆性創新將改變護理服務
根據醫療保險和醫療補助服務中心（CMS）的說法，基於價值的護理（VBC）計劃根據醫療保健提供者向醫療保險患者提供的護理品質向他們提供獎勵。
這些計劃是 CMS 改革醫療保健服務和支付的品質策略的一部分。以價值為基礎的計畫支持三個目標：為個人提供更好的照護、為人群提供更好的健康、降低照護成本。本研究分析了支持 VBC 計劃的支付者和提供者（包括醫生診所和醫院）的數位健康解決方案。排除針對生命科學、製藥公司和上市公司的解決方案。評估目標僅限於美國，基於CMS來考慮概念。
本研究涵蓋了 CMS 基於價值的計劃和支付獎勵的現狀，包括 ACO REACH、MSSP、MCP 和 AHEAD 模型，以及未來五年的監管更新和成長機會。此外，還評估了數位醫療提供者和支付人在數位品質衡量和績效差距方面的作用，並重點介紹了美國現有企業和新興企業透過數位醫療解決方案實現 VBC 的最佳實踐。
目錄
戰略問題
- 為什麼成長越來越困難？
- The Strategic Imperative 8（TM）
- 關鍵策略要務對美國基於價值的護理（VBC）行業的影響
- 成長機會推動Growth Pipeline Engine（TM）
成長機會分析
- 分析範圍
- 市場區隔
- 支付獎勵- CMS VBC 模型
- 支付獎勵-責任醫療模式
- 支付獎勵-責任醫療模式：醫療保險共享儲蓄計劃（MSSP）
- 支付獎勵-責任醫療模型：ACO 實現公平、獲取和社區健康（ACO REACH）模型
- 支付獎勵-責任醫療模式
- 支付獎勵－特定疾病和基於事件的模型
- 支付獎勵-2015年醫療保險准入和 CHIP 再授權法案（MACRA）：基於績效的獎勵支付系統（MIPS）
- 支付獎勵- MACRA：替代支付模式（APM）
- VBC程序和帳單
- 如何衡量品質
- 如何衡量品質 - 醫療保健品質的 6 個優先事項
- 如何衡量品質－數位健康的作用
- 如何衡量品質－支付人的角色
- 解決績效衡量方面的差距
- 美國現有企業和新興企業透過數位健康解決方案支持 VBC
- 生長促進因子
- 成長抑制因素
成長機會宇宙
- 成長機會1：數位品質指標（dQM）標準化
- 成長機會2：投資行為健康與遠端保健
- 成長機會3：中小型診所需求
- 成長機會4：針對醫師倦怠的生成式人工智慧
- 圖表列表
- 免責聲明
"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.
Table of Contents
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
Growth Opportunity Universe
- Growth Opportunity 1: Standardization of Digital Quality Measures (dQMs)
- Growth Opportunity 2: Behavioral Health and Telehealth Investment
- Growth Opportunity 3: Small and Medium Practices Demand
- Growth Opportunity 4: Generative AI for Physician Burnout
- List of Exhibits
- Legal Disclaimer
