RESUMO
As the health care landscape in the United States changes under the Affordable Care Act, providers are set to face numerous new challenges. Although concerns about practice sustainability with declining reimbursement have dominated the dialogue, there are more pressing changes to the health care funding mechanism as a whole that must be addressed. Plastic surgeons, involved in various practice models each with different relationships to hospitals, referring physicians, and payers, must understand these reimbursement changes to dictate adequate compensation in the future. In this article, the authors discuss bundle payments and accountable care organizations, and how plastic surgeons might best engage in these new system designs. In addition, the authors review the value of a focused and driven health-services research agenda in plastic surgery, and the importance of this research in supporting long-term financial stability for the specialty.
Assuntos
Pesquisa Biomédica/legislação & jurisprudência , Patient Protection and Affordable Care Act , Cirurgia Plástica/legislação & jurisprudência , Organizações de Assistência Responsáveis/economia , Organizações de Assistência Responsáveis/organização & administração , Cirurgia Bariátrica/economia , Pesquisa Biomédica/economia , Atenção à Saúde/economia , Atenção à Saúde/legislação & jurisprudência , Atenção à Saúde/organização & administração , Prestação Integrada de Cuidados de Saúde/economia , Prestação Integrada de Cuidados de Saúde/organização & administração , Previsões , Objetivos , Custos de Cuidados de Saúde , Reforma dos Serviços de Saúde/tendências , Gastos em Saúde , Política de Saúde/tendências , Acessibilidade aos Serviços de Saúde/economia , Humanos , Reembolso de Seguro de Saúde/economia , Reembolso de Seguro de Saúde/legislação & jurisprudência , Reembolso de Seguro de Saúde/tendências , Modelos Teóricos , Procedimentos de Cirurgia Plástica/economia , Cirurgia Plástica/economia , Estados UnidosRESUMO
Lasers and light sources are increasingly used in dermatology. Due to the limited financial resources of the public health care system, the Danish Dermatological Society has developed recommendations for distinguishing medical laser treatments to be provided free of charge from cosmetic self-payment treatments. Several considerations underlie the recommendations: present legislation; the diagnosis, etiology, severity, and anatomical location of the disease; and the availability of evidence-based treatments. It is suggested that the recommendations constitute the basis for referring patients to dermatological treatment involving laser and intense pulsed light in Denmark.