TY - JOUR
T1 - Something new in the air
T2 - Paying for community-based environmental approaches to asthma prevention and control
AU - Tschudy, Megan M.
AU - Sharfstein, Joshua
AU - Matsui, Elizabeth
AU - Barnes, Charles S.
AU - Chacker, Stacey
AU - Codina, Rosa
AU - Cohn, John R.
AU - Sandel, Megan
AU - Wedner, H. James
N1 - Publisher Copyright:
© 2017 American Academy of Allergy, Asthma & Immunology
PY - 2017/11
Y1 - 2017/11
N2 - Despite the recommendation in national asthma guidelines to target indoor environmental exposures, most insurers generally have not covered the outreach, education, environmental assessments, or durable goods integral to home environmental interventions. However, emerging payment approaches offer new potential for coverage of home-based environmental intervention costs. These opportunities are becoming available as public and private insurers shift reimbursement to reward better health outcomes, and their key characteristic is a focus on the value rather than the volume of services. These new payment models for environmental interventions can be divided into 2 categories: enhanced fee-for-service reimbursement and set payments per patient that cover asthma-related costs. Several pilot programs across the United States are underway, and as they prove their value and as payment increasingly becomes aligned with better outcomes at lower cost, these efforts should have a bright future. Physicians should be aware that these new possibilities are emerging for payment of the goods and services needed for indoor environmental interventions for their patients with asthma.
AB - Despite the recommendation in national asthma guidelines to target indoor environmental exposures, most insurers generally have not covered the outreach, education, environmental assessments, or durable goods integral to home environmental interventions. However, emerging payment approaches offer new potential for coverage of home-based environmental intervention costs. These opportunities are becoming available as public and private insurers shift reimbursement to reward better health outcomes, and their key characteristic is a focus on the value rather than the volume of services. These new payment models for environmental interventions can be divided into 2 categories: enhanced fee-for-service reimbursement and set payments per patient that cover asthma-related costs. Several pilot programs across the United States are underway, and as they prove their value and as payment increasingly becomes aligned with better outcomes at lower cost, these efforts should have a bright future. Physicians should be aware that these new possibilities are emerging for payment of the goods and services needed for indoor environmental interventions for their patients with asthma.
KW - Asthma
KW - environmental interventions
KW - health care payment
UR - http://www.scopus.com/inward/record.url?scp=85016776315&partnerID=8YFLogxK
U2 - 10.1016/j.jaci.2016.12.975
DO - 10.1016/j.jaci.2016.12.975
M3 - Article
C2 - 28192148
AN - SCOPUS:85016776315
SN - 0091-6749
VL - 140
SP - 1244
EP - 1249
JO - Journal of Allergy and Clinical Immunology
JF - Journal of Allergy and Clinical Immunology
IS - 5
ER -