{"id":14028,"date":"2023-12-15T22:37:06","date_gmt":"2023-12-15T13:37:06","guid":{"rendered":"https:\/\/clarivate.com\/ko\/?p=14028"},"modified":"2024-11-06T02:56:51","modified_gmt":"2024-11-06T02:56:51","slug":"five-u-s-market-access-trends-to-watch-in-2024","status":"publish","type":"post","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/ko\/blog\/five-u-s-market-access-trends-to-watch-in-2024\/","title":{"rendered":"2024\ub144\uc5d0 \uc8fc\ubaa9\ud574\uc57c \ud560 \u7f8e \ub9c8\ucf13 \uc561\uc138\uc2a4 \ud2b8\ub80c\ub4dc 5\uac00\uc9c0"},"content":{"rendered":"<p>\ucc98\ubc29\uc57d\uae09\uc5ec\uad00\ub9ac \ud68c\uc0ac(PBM), IDN(\ud1b5\ud569 \uc758\ub8cc\uc804\ub2ec \ub124\ud2b8\uc6cc\ud06c)\uac04\uc758 M&amp;A, \ube44\uc804\ud1b5\uc801\uc778 \ud5ec\uc2a4\ucf00\uc5b4 \uae30\uc5c5\ub4e4\uc5d0 \uc758\ud55c \ud63c\ub780, \ubcf4\ud5d8 \uac00\uc785 \u00a0\ubc0f 2024\ub144 \ub300\ud1b5\ub839 \uc120\uac70 \ub4f1\uc774 2024\ub144 \ubbf8\uad6d \ub9c8\ucf13 \uc561\uc138\uc2a4 \uc2dc\uc7a5\uc5d0\uc11c \uc8fc\ubaa9\ud574\uc57c \ud560 5\uac00\uc9c0 \uc601\uc5ed\uc73c\ub85c \uaf3d\ud614\uc2b5\ub2c8\ub2e4. \ud074\ub798\ub9ac\ubca0\uc774\ud2b8 \uc804\ubb38\uac00\ub4e4\uc774 \uc65c \uc774\uac83\uc774 \uc8fc\ubaa9\ud574\ubd10\uc57c \ud560 \ub9cc\ud55c \ud2b8\ub80c\ub4dc\ub85c \uaf3d\uc558\ub294\uc9c0 \ud558\uae30 \uae00\uc744 \ud1b5\ud574 \uc124\uba85\ud574\ubcf4\uaca0\uc2b5\ub2c8\ub2e4.<\/p>\n<h3><strong>\uc8fc\ubaa9\ubc1b\ub294 PBM<\/strong><\/h3>\n<p>2024\ub144 \ub3d9\uc548 \ucc98\ubc29\uc57d\uae09\uc5ec \uad00\ub9ac \ud68c\uc0ac(PBM)\ub294 \ud2b9\uc815 \uc758\uc57d\ud488\uc744 \uc5b4\ub5bb\uac8c \uad00\ub9ac\ud558\ub294 \uc9c0\uc640 \ub354\ubd88\uc5b4 \uc758\uc57d\ud488 \uac00\uaca9 \ubc0f \uad6c\ub9e4\uc5d0 \ubbf8\uce58\ub294 \uc601\ud5a5\uc5d0 \ub300\ud55c \uc790\uc138\ud55c \ubaa8\ub2c8\ud130\ub9c1\uc744 \ubc1b\uac8c \ub420 \uac83\uc73c\ub85c \uc608\uc0c1\ub429\ub2c8\ub2e4. PBM\uc774 2024\ub144\uc5d0 \uc788\uc744 \uc7a0\uc815\uc801\uc778 \uc704\ud611\uc744 \ud0d0\uc0c9\ud558\ub824 \ub178\ub825\ud558\ub294 \ub3d9\uc548 5\uac00\uc9c0 \ud2b9\uc815 \uc601\uc5ed\uc5d0\uc11c \ubaa8\ub2c8\ud130\ub9c1\uc744 \ubc1b\uac8c \ub420 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<p><strong>\uccb4\uc911 \uac10\uc18c \uc57d\ubb3c\uc758 \uc218\uc218\uaed8\ub07c<\/strong><\/p>\n<p>FDA\uac00 11\uc6d4\u00a0<a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-medication-chronic-weight-management\" target=\"_blank\" rel=\"noopener\">Eli Lilly\uc758 Zepbound<\/a>\u2122\uc744 \uc2b9\uc778\ud55c \uc774\ud6c4 \ucc98\ubc29\uc57d\uae09\uc5ec\uad00\ub9ac \ud68c\uc0ac(PBM)\ub4e4\uc774 GLP-1 \uc218\uc6a9\uccb4 \uc791\uc6a9\uc81c\uc5d0 \ub300\ud55c \ud658\uae09 \uc815\ucc45\uc744 \uc7ac\uace0\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. GLP-1 \uc218\uc6a9\uccb4 \uc791\uc6a9\uc81c\ub294 \uc774\ubbf8 \ub2f9\ub1e8\ubcd1 \uce58\ub8cc\uc81c\uc778<a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-novel-dual-targeted-treatment-type-2-diabetes\" target=\"_blank\" rel=\"noopener\"> Mounjaro<\/a>\u00ae \ub85c \uc0ac\uc6a9\ub418\uace0 \uc788\uc73c\uba70 \uc774\uc81c\u00a0<a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-drug-treatment-chronic-weight-management-first-2014\" target=\"_blank\" rel=\"noopener\">Novo Nordisk\uc758 Wegovy<\/a>\u00ae \uc640 \ub354\ubd88\uc5b4 FDA\uc758 \uc2b9\uc778\uc744 \ubc1b\uc740 \ucd5c\uc2e0 \ube44\ub9cc \uce58\ub8cc \uc635\uc158 \uc911 \ud558\ub098\uac00 \ub418\uc5c8\uc2b5\ub2c8\ub2e4. GLP-1\uc758 \uc7a0\uc7ac\ub825\uc740 \uc774\ubbf8 <a href=\"https:\/\/www.pharmaceutical-technology.com\/comment\/market-cap-rebound-by-top-20-biopharmaceutical-companies-in-q2-2023\/?cf-view\" target=\"_blank\" rel=\"noopener\">\u00a0\ub450 \ud68c\uc0ac\uc758 \uc8fc\uac00\ub97c \ub04c\uc5b4 \uc62c\ub838\uc9c0\ub9cc<\/a>, \ubcf4\ud5d8\ud68c\uc0ac\uc5d0\uac8c \uc774\ub294 \uc608\uc0b0 \ubd80\ub2f4\uc73c\ub85c \ub2e4\uac00\uc624\uac8c \ub429\ub2c8\ub2e4. \ubd84\uc11d\uac00\ub4e4\uc740 \ube44\ub9cc \uc57d\uc758 \uc5f0\uac04 \ub9e4\ucd9c\uc774 <a href=\"https:\/\/www.cnbc.com\/2023\/10\/23\/wall-street-hikes-forecasts-for-anti-obesity-drug-sales-to-100-billion.html#:~:text=Fernandez%20expects%20%2450%20billion%20in,does%20reflect%20more%20modest%20assumptions.\" target=\"_blank\" rel=\"noopener\">1000\uc5b5\ub2ec\ub7ec\ub97c \uc0c1\ud68c\ud560<\/a> \uac83\uc73c\ub85c \ucd94\uc815\ud558\uace0 \uc788\ub294\ub370, Clarivate Fingertip Analytics\uc758 \ub370\uc774\ud130\uc5d0 \ub530\ub974\uba74 \ubcf4\ud5d8\uc0ac\uc758 \uc7ac\uc815 \ud0c0\uaca9\uc5d0 \ub300\ud55c \uc6b0\ub824\uac00 Wegovy\ub85c \uce58\ub8cc\ubc1b\ub294 30%\uc758 \ud658\uc790\ub4e4\uc5d0\uac8c \ubcf4\ud5d8\ud61c\ud0dd\uc744 \uc81c\uacf5\ud558\uc9c0 \uc54a\ub294 \uc774\uc720 \uc911 \ud558\ub098\ub85c \uaf3d\ud614\uc2b5\ub2c8\ub2e4.2\ubc88\uc9f8 \ube44\ub9cc\uc57d\uc774 \uc2dc\uc7a5\uc5d0 \ucd9c\uc2dc\ub420 \uacbd\uc6b0 PBM\uc774 \uacf5\uaca9\uc801\uc778 \ub9ac\ubca0\uc774\ud2b8\ub97c \ubc1b\ub294 \ub300\uac00\ub85c \ubcf4\uc7a5 \ubc94\uc704\ub97c \ud655\ub300\ud560 \uac00\ub2a5\uc131\uc774 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14029 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture4-1.jpg\" alt=\"\" width=\"602\" height=\"338\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture4-1.jpg 602w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture4-1-300x168.jpg 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture4-1-71x40.jpg 71w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/p>\n<p><strong>\ubc14\uc774\uc624\uc2dc\ubc00\ub7ec \uc804\ub7b5<\/strong><\/p>\n<p>2024\ub144\uc5d0 EYLEA\u00ae\uc758 \uccab\ubc88\uc9f8 \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec \ubc84\uc804\uc774 \uc2b9\uc778\ub420 \uac83\uc73c\ub85c \uc608\uc0c1\ub428\uc5d0 \ub530\ub77c PBM\ub4e4\uc774 \uc218\uc775\uc744 \uc5bb\uc744 \uac83\uc73c\ub85c \uae30\ub300\ub429\ub2c8\ub2e4. \u00a0\uc885\uc591\ud559(bevacizumab \ubc0f trastzumab)\uacfc \uc548\uacfc\ud559(ranibizumab)\uc5d0\uc11c \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec\uac00 \ucd9c\uc2dc\ub418\uc790 <a href=\"https:\/\/www.ajmc.com\/view\/trastuzumab-biosimilars-successfully-drove-down-prices\" target=\"_blank\" rel=\"noopener\">\uc81c\uc870\uc5c5\uccb4\ub4e4\uc774 \uacf5\uaca9\uc801\uc73c\ub85c \uacc4\uc57d<\/a>\ud558\ub294 \uac83\uc744 \ubaa9\ub3c4\ud55c\ubc14\uac00 \uc788\uc2b5\ub2c8\ub2e4. PBM\ub4e4\uc740 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubc34\ud2f0\uc9c0 \ud50c\ub79c\uc5d0 \ub9de\ucd94\uc5b4 <a href=\"https:\/\/www.formycon.com\/en\/blog\/press-release\/file-acceptance-fyb203\/\" target=\"_blank\" rel=\"noopener\">\ub0b4\ub144\uc5d0 \ucd9c\uc2dc<\/a>\ub420 \uac83\uc73c\ub85c \uae30\ub300\ub418\ub294 \uc548\uacfc\uc9c8\ud658 \uce58\ub8cc\uc81c EYLEA (\u00a0<a href=\"https:\/\/data.cms.gov\/summary-statistics-on-use-and-payments\/medicare-medicaid-spending-by-drug\/medicare-part-b-spending-by-drug\/data\" target=\"_blank\" rel=\"noopener\">No\uba54\ub514\ucf00\uc5b4 \ud30c\ud2b8 B\uc57d\ubb3c \uc911 \uba54\ub514\ucf00\uc5b4 \uc9c0\ucd9c 2\uc704<\/a>)\uc758 \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec\ub97c \uae30\ub2e4\ub9ac\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ub2e4\uc218\uc758EYLEA\ubc14\uc774\uc624\uc2dc\ubc00\ub7ec\uac00 \ud30c\uc774\ud504\ub77c\uc778\uc5d0 \uc788\uae30 \ub54c\ubb38\uc5d0 \ubcf4\ud5d8\uc0ac(Payer)\ub4e4\uc740 \ud658\uae09\ubc94\uc704\ub97c \ub9c9\ub300\ud55c \ub9ac\ubca0\uc774\ud2b8\ub97c \uc81c\uacf5\ud558\ub294 \uba87\uba87\uc758 \uc81c\uc870\uc0ac \ub4e4\ub85c \uc81c\ud55c\ud560 \uac00\ub2a5\uc131\uc774 \ub192\uc2b5\ub2c8\ub2e4.<\/p>\n<p><strong>\uc81c\uc870\uc0ac\uc758 \uac00\uaca9 \uc804\ub7b5<\/strong><\/p>\n<p>PBM\uc758 \ud611\uc0c1\uacfc\uc815\uc774 \uc0b0\uc5c5\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce60 \uacbd\uc6b0 \ub354\uc6b1 \ucca0\uc800\ud55c \ubaa8\ub2c8\ud130\ub9c1\uc744 \ubc1b\uace0 \uc788\uc2b5\ub2c8\ub2e4. 2023\ub144 Amgen\uc740 \ub450\uac00\uc9c0 \ub2e4\ub978 NDC(National Drug Code: \uad6d\uac00 \uc758\uc57d\ud488 \ucf54\ub4dc)\uc640 <a href=\"https:\/\/www.wsj.com\/health\/healthcare\/same-drug-two-prices-why-the-higher-price-prevails-d24038c8?st=gkueytzrv5g3v0x&amp;reflink=desktopwebshare_permalink\" target=\"_blank\" rel=\"noopener\">WAC(Wholesale Acquisition Cost:\ub3c4\ub9e4 \uad6c\ub9e4 \uac00\uaca9)\ub85c<\/a> adalimumab\uc758 \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec\ub97c \ucd9c\uc2dc\ud588\uc2b5\ub2c8\ub2e4.\uc774 \uc804\ub7b5\uc740 \ubcf4\ub2e4 \ud070 \ud560\uc778\uc744 \uc911\uc2dc\ud558\ub294 PBM\uacfc \ub0ae\uc740 \uc21c \ube44\uc6a9\uc744 \uc120\ud638\ud558\ub294 MCO (Managed Care Organization) \uac01\uac01\uc758 \ud638\uac10\uc744 \uc5bb\uc744 \uac83\uc73c\ub85c \uae30\ub300\ub429\ub2c8\ub2e4. (\uc790\uc138\ud55c \ub0b4\uc6a9 <a href=\"https:\/\/clarivate.com\/ko\/the-amjevita-impact-innovative-u-s-biosimilar-pricing-models\">AMJEVITA\uc758 \uc601\ud5a5: \ud601\uc2e0\uc801\uc778 \ubbf8\uad6d \ubc14\uc774\uc624\uc2dc\ubc00\ub7ec \uac00\uaca9\ubaa8\ub378 \ucc38\uc870<\/a>) \uadf8\ub7ec\ub098 PBM \uc911\uc2ec\uc758 \uc804\ub7b5\uc740, WAC\ub97c \uae30\ubc18\uc73c\ub85c \uc57d\ubb3c\uc5d0 \ub300\ud55c \uacf5\ub3d9\ubcf4\ud5d8\uc744 \uc9c0\ubd88\ud558\ub294 \ud658\uc790\uc5d0\uac8c \ubcf4\ub2e4 \ub192\uc740 \ubcf8\uc778 \ubd80\ub2f4 \ube44\uc6a9\uc744 \ucd08\ub798\ud560 \uc218 \uc788\uc5b4 \ub9ce\uc740 \ube44\ud310\uc744 \ubd88\ub7ec\uc77c\uc73c\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p><strong>\ub0b4\ubd80 \uc7ac\uc870\uc9c1<\/strong><\/p>\n<p>GPO(Group Purchase Organization: \uadf8\ub8f9\uad6c\ub9e4\uc870\uc9c1)\ub294 \uc77c\ubc18\uc801\uc778 \ub9e4\uc785 \ubc0f \uccad\uad6c \ud65c\ub3d9\uc5d0 \uc0ac\uc6a9\ub418\uace0 \uc788\ub294 \ubc29\uc2dd\uc785\ub2c8\ub2e4. \ucc98\ubc29\uc57d\uae09\uc5ec\uad00\ub9ac \ud68c\uc0ac\ub4e4\uc740 \uc804\ud1b5\uc801\uc778 \uc81c\uc870\uc5c5\uccb4 \ub9ac\ubca0\uc774\ud2b8 \ud611\uc0c1\uc758 \uc77c\ud658\uc73c\ub85cAscent Health Services \ubc0f Zinc health Services PBMs\uc640 \uac19\uc740 \uc790\uccb4 GPO(Group Purchase Organization)\ub97c \uc870\uc9c1\ud588\uc2b5\ub2c8\ub2e4. \uac89\ubcf4\uae30\uc5d0\ub294 \uc0ac\uc18c\ud55c \uc870\uce58\uc9c0\ub9cc, GPO \ud615\uc131\uc774 \ub9ac\ubca0\uc774\ud2b8 \ubc29\uc9c0\ubc95\ub960 \uc704\ubc18\uc774\ub77c\ub294 \uc7a0\uc7ac\uc801 \ube44\ub09c\uc73c\ub85c \ubd80\ud130 \uacc4\uc57d \uc6b4\uc601\uc744 \ubcf4\ud638\ud558\ub294\u00a0<a href=\"https:\/\/oig.hhs.gov\/faqs\/general-questions-regarding-certain-fraud-and-abuse-authorities\/\" target=\"_blank\" rel=\"noopener\">\uc138\uc774\ud504 \ud558\ubc84<\/a>\u00a0\ub97c \uc81c\uacf5\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p><strong>\uc6cc\uc2f1\ud134\uc758 \uad00\uc2ec <\/strong><\/p>\n<p>PBM\uc758 \ubd80\uc0c1\uc73c\ub85c \ub204\uac00 \uc758\uc57d\ud488 \uac00\uaca9\uc744 \ub04c\uc5b4\uc62c\ub9ac\ub294\uc9c0\ub97c \uc9c0\ubaa9\ud558\uae30 \uc704\ud55c \uc774\ud574\uad00\uacc4\uc790\ub4e4\uc758 \uba74\ubc00\ud55c \uac10\uc2dc\uac00 \uc774\uc5b4\uc9c0\uace0 \uc788\uc2b5\ub2c8\ub2e4.\u00a0<a href=\"https:\/\/www.ftc.gov\/news-events\/news\/press-releases\/2022\/06\/ftc-launches-inquiry-prescription-drug-middlemen-industry\" target=\"_blank\" rel=\"noopener\">FTC(Federal Trade Commission<\/a>)\ub294 \uc774\ubbf8 \ub300\ud615 PBM\ub4e4\uc5d0\uac8c \uae30\ub85d\uc744 \uc694\uad6c\ud588\uace0, \uc8fc \ubc0f \uc5f0\ubc29 \uc815\ubd80\uc758 \uc785\ubc95\uc790\ub4e4\uc740 PBM\uc6b4\uc601\uc5d0 \ub300\ud55c <a href=\"https:\/\/www.grassley.senate.gov\/imo\/media\/doc\/pharmacy_benefit_manager_transparency_act_of_2023_-_summary.pdf\" target=\"_blank\" rel=\"noopener\">\ud22c\uba85\uc131\uc744 \ub192\uc774\uae30 \uc704\ud55c<\/a> \ubc95\uc548\uc744 \uacc4\uc18d\ud574\uc11c \uc81c\ucd9c\ud558\uace0 \uc788\ub294\ub370, \uc774\ub294 \uc120\uac70 \uc5f0\ub3c4 \ub0b4\uc5d0 \ubc95\uc548\uc5d0 \ub300\ud55c \uacb0\uc815\uc774 \ub0b4\ub824\uc9c8 \uc218\ub3c4 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<h3><\/h3>\n<h3><strong>\uacbd\uc7c1 \uc11c\ube44\uc2a4 \uc9c0\uc5ed\uc5d0 \ub530\ub978 <\/strong><strong>IDN\uc758 \ud1b5\ud569<\/strong><\/h3>\n<p>\ube44\uc601\ub9ac IDN(Integrated Delivery Networks: \ud1b5\ud569 \uc758\ub8cc\uc804\ub2ec \ub124\ud2b8\uc6cc\ud06c)\ub4e4\uc774 \ubcf8\uac70\uc9c0\uc5d0\uc11c \ubc97\uc5b4\ub098 \uc2dc\uc7a5\uc744 \ud655\uc7a5\ud558\uace0 \uc601\ub9ac \ubc0f \uce74\ud1a8\ub9ad IDN\ub4e4\uc774 \uc774\uc804\uc5d0 \ud655\uc7a5\ud588\ub358 \uc2dc\uc7a5\uc5d0\uc11c \ucca0\uc218\ud558\uace0 \uc788\uc5b4, \ubbf8\uad6d \uc804\ubc18\uc5d0\uc11c \uacf5\ud1b5\uc801\uc778 \uacbd\uc7c1\uad00\uacc4\ub97c \uac16\ub294 \ub3c5\ud2b9\ud55c IDN \uacbd\uc7c1 \uc9c0\ud615\uc774 \ud615\uc131\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uac00\uc7a5 \uc8fc\ubaa9\uc744 \ub044\ub294 IDN\uc758 \uc778\uc218\ud569\ubcd1 \ud65c\ub3d9\uc740 \uc774\uc6c3\ud558\ub294 \uc2dc\uc7a5\uc774 \ub354 \ud070 \uc9c0\uc5ed\uc73c\ub85c \ud1b5\ud569\ub420 \ub54c \ubc1c\uc0dd\ud588\uc73c\uba70, \uc8fc\ubaa9\ubc1b\uc9c0 \ubabb\ud55c \ud1b5\ud569\uc774 \uc0c1\ub300\uc801\uc73c\ub85c \uc778\uad6c\uac00 \uc801\uc740 \uc9c0\uc5ed\uc5d0\uc11c\ub294 \uc9c4\ud589\ub418\uc5c8\ub294\ub370,\uc774\ub7f0 \ud1b5\ud569\uc740 \uad6d\uac00\uc801\uc778 \uc8fc\uc694 \ud50c\ub808\uc774\uc5b4 \ubc0f \ud559\uc220 \uc758\ub8cc \uc13c\ud130\uac00 \uc791\uc740 \uc758\ub8cc\uae30\uad00\ub4e4\uc744 \uc778\uc218\ud568\uc5d0 \ub530\ub77c \uac00\uc18d\ud654\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc608\ub97c \ub4e4\uc5b4, \uc77c\ub9ac\ub178\uc774\uc640 \uc704\uc2a4\ucf58\uc2e0\uc5d0\uc11c\ub294 \ubbf8\uc2dc\uac74 \ud638\uc218\uc758 \uc11c\ucabd \ud574\uc548\uc5d0 \uc911\uc810\uc744 \ub450\uace0 \uc788\ub294 Advocate Health\uc640Ascence\uc774 \ubc00\uc6cc\ud0a4\uc758 Froedter Health\uac00 Fox Valley\uc758 ThedaCare\uc640 \ud569\ubcd1\uc744 \uc81c\uc548\ud558\uc5ec Badger \uc8fc\uc758 \uad6d\uac00 IDN\uc640 \uc720\uc0ac\ud55c \ud48b\ud504\ub9b0\ud2b8\ub97c \uac00\uc9c4 \uc9c0\uc5ed\uae30\ubc18 IDN\uc744 \ub9cc\ub4e4\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc11c\ucabd\uc5d0\uc11c\ub294, \ubbf8\ub124\uc18c\ud0c0 \uc8fc Duluth\uc5d0 \ubcf8\uc0ac\ub97c \ub454IDNs Essentia Health\uc640 St. Luke\u2019s Duluth\uac00 \uac01\uac01 \uc911\ubd80 \uc704\uc2a4\ucf58\uc2e0 IDNs Marshfield Clinic\uacfcAspirus Health\ub97c \ud569\ubcd1\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \u00a0St. Luke\u2019s Duluth\uc640 Aspirus Health\uc758 \ud569\ubcd1\uc740 Ascension\uc774 \ud3ec\uae30\ud55c \ubcd1\uc6d0\uc744 \uc0ac\ub4e4\uc774\uba70 \uc131\uc7a5\ud588\uc2b5\ub2c8\ub2e4. \ubbf8\uad6d \ubd81\ubd80\uc5d0\uc11c\ub294 Essentia\/Marshfield\uc640Aspirus\/St. Luke\u2019s \uc704\uc8fc\ub85c IDN\uc774 \ud1b5\ud569\ub418\uc5c8\ub294\ub370, \ud574\ub2f9 \uc9c0\uc5ed\uc758 \uba87\uba87 \ub3c5\ub9bd\ubcd1\uc6d0\ub4e4\uc740 \uc790\uc8fc\uc131\uc744 \ubcf4\uc804\ud558\uae30 \uc704\ud574Tamarack Health\ub85c \ud569\ubcd1 \uc81c\uc548\uc744 \ud588\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc11c\ubd80 \ubaac\ud0dc\ub098 \uc8fc\uc5d0\uc11c (\uc720\ud0c0\uc5d0 \ubcf8\uc0ac\ub97c \ub454Intermountain Health \uac00 SCL\ud5ec\uc2a4\ub97c \uc778\uc218\ud55c \ud6c4 2023\ub144 9\uc6d4 Billings Clinic\uacfcLogan Health \uac00 \ud569\ubcd1\ud55c \uacf3)\ubd80\ud130 \ub274\uc695\uc8fc \ubd81\ubd80(\ube59\uc5c4\ud134\uc5d0\uc11c Ascension\uc5d0\uc11c \ubd84\ub9ac\ub41c \uc790\uc0b0\uc744 Guthrie Clinic\uc774 \uc778\uc218\ud558\uba74\uc11c Arnot Health \uc640Cayuga Health System \uc774 \ud569\ubcd1\uc744 \ub17c\uc758 \uc911)\uc5d0 \uc774\ub974\uae30\uae4c\uc9c0 \ubbf8\uc804\uc5ed\uc5d0\uc11c \uc720\uc0ac\ud55c \ud63c\ub780\uc774 \uc774\uc5b4\uc9c0\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ud50c\ub85c\ub9ac\ub2e4, \ub3d9\ubd80 \ud39c\uc2e4\ubca0\ub2c8\uc544\uc758I-4 \ucf54\ub9ac\ub354, \ub9c8\uc6b4\ud2f4 \uc6e8\uc2a4\ud2b8\uc640 \uac19\uc740 \uc5f0\uc18d\uc801\uc778 \uc2dc\uc7a5\uc5d0\uc11cIDN\uac04\uc758 \ubcf4\ub2e4 \ub9ce\uc740 \ud569\ubcd1\uc774 \uc608\uc0c1\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>Kaiser Permanente\uac00 Geisinger Health \uc778\uc218\ub97c \uc644\ub8cc\ud55c \ud6c4, \uc6b0\ub9ac\ub294 \uc5b4\ub5a4 \ub2e4\ub978 IDN\uc774 Kaiser Permanente\uc758 \uc0c8\ub85c\uc6b4 \ud655\uc7a5 \ucc98\uc778 Risant Health\uc758 \ubaa9\ud45c\uac00 \ub420 \uac83\uc778\uc9c0 \uc790\uc138\ud788 \uc0b4\ud3b4\ubd10\uc57c \ud560 \uac83\uc785\ub2c8\ub2e4. Risant\ub294 Geisinger\uc758 \ud39c\uc2e4\ubca0\ub2c8\uc544 \ubd81\ub3d9\ubd80 \uae30\uc9c0\uc5d0\uc11c \uc778\uc811\ud55c Lehigh Valley\ub85c \uc131\uc7a5\ud558\uac70\ub098, Geisinger\uc640 \uc720\uc0ac\ud55c IDN\uc744 \ub2e4\ub978 \uacf3(Central Illinois\uc758 Carle Health \ub4f1)\uc5d0\uc11c \ud68d\ub4dd\ud558\uac70\ub098, Kaiser Permanente\uac00 \uc774\ubbf8 \uc758\ub8cc \uacc4\ud68d \uc6b4\uc601\uc744 \ud558\uace0 \uc788\uc9c0\ub9cc \uae09\uc131 \ud658\uc790\uce58\ub8cc\ub294 \uc801\uc740 \uc8fc\uc694 \uc2dc\uc7a5(Pacific Northwest \ub610\ub294 Denver \ub4f1)\uc5d0\uc11c IDN\uc744 \uad6c\ucd95\ud560 \uac00\ub2a5\uc131\uc774 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\ube44\uc804\ud1b5\uc801 \ud5ec\uc2a4\ucf00\uc5b4 \uae30\uc5c5\ub4e4\uc774<\/strong><strong>IDN\uc758 \uc9c0\ubc30\ub825\uc5d0 \ub9de\uc11c \ud604\uc0c1 \uc720\uc9c0\ub97c \ubc29\ud574<\/strong><\/h3>\n<p>2023\ub144\uc740 CVS Health, Walgreens \ubc0f Walmart \uacfc \uac19\uc740 <a href=\"https:\/\/clarivate.com\/blog\/u-s-market-access-landscape-a-push-for-control-is-erasing-the-boundary-between-payers-and-providers-in-u-s-healthcare\/\">\uac70\ub300 \uae30\uc5c5\ub4e4\uc774 1\ucc28 \uc758\ub8cc\ub9dd\uacfc \uac00\uc815 \uac74\uac15 \ud68c\uc0ac \ub97c \uc778\uc218\ud558\uace0 \ud655\uc7a5<\/a>\uc744 \ubc1c\ud45c\ud568\uc5d0 \ub530\ub77c \ud658\uc790\uc758 \ud3b8\uc774\uc640 \uc811\uadfc\uc131\uc5d0 \uc788\uc5b4 \uc758\ub8cc\uc2dc\uc2a4\ud15c\uc774 \uc774\ub7f0 \uc778\uc218\ud569\ubcd1\uc5d0 \uc5b4\ub5bb\uac8c \ub300\uc751\ud560\uc9c0\uc5d0 \ub300\ud55c \uc6b0\ub824\uac00 \ubc1c\uc0dd\ud55c \ubd84\uc218\ub839\uc774 \ub41c \ud574\uc600\uc2b5\ub2c8\ub2e4. 2024\ub144\uc5d0\ub3c4 \uc774\ub4e4 \ub300\uae30\uc5c5\ub4e4\uc740 \uc624\ud504\ub77c\uc778 \uc0ac\uc5c5\uc601\uc5ed\uc744 \ud655\uc7a5\ud558\uace0 IDN\uacfc\uc758 \ud30c\ud2b8\ub108\uc2ed\uc744 \ubaa8\uc0c9\ud558\ub294 \ubaa8\uba58\ud140\uc744 \uc774\uc5b4\uac08 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<p>\ubcf4\ud5d8\uc0ac(Payer)\ub4e4\uc740 \uacc4\uc18d\ud574\uc11c \ubcf4\ud5d8 \uc81c\uacf5\uc5c5\uccb4\ub4e4\uc758 \uc18c\uc720\uad8c\uc744 \uac16\uac8c \ub420 \uac83\uc774\uba70, \uc218\ub9ce\uc740 Blue \ud50c\ub79c\ub4e4\uc740 \ud658\uc790\ub4e4\uc744 \ubcf4\ub2e4 \uc800\ub834\ud55c \uc758\ub8cc\uc11c\ube44\uc2a4\ub85c \uc774\ub04c \uc218 \uc788\ub294 \ud658\uacbd\uc5d0 \ub300\ud55c \uad8c\ub9ac\ub97c \uc8fc\uc7a5\ud560 \uac83\uc785\ub2c8\ub2e4. \ubcf4\ud5d8\uc0ac(Payer) \ub9ac\uc2a4\ud2b8\uc758 \uac00\uc7a5 \uc0c1\uc704\uc5d0\ub294<a href=\"https:\/\/www.optum.com\/about-us\/optum-health.html\" target=\"_blank\" rel=\"noopener\"> 7\ub9cc\uba85\uc758 \uace0\uc6a9\ub41c \uc758\uc0ac\ub4e4<\/a>\uc774 \uc788\ub294 UnitedHealth Group\uc758 Optum\uacfc \u00a0CenterWell\ud074\ub9ac\ub2c9 \ubc0f Conviva<a href=\"https:\/\/press.humana.com\/news\/news-details\/2021\/Humana-Introduces-CenterWell-as-the-New-Brand-for-a-Range-of-Its-Payer-Agnostic-Health-Care-Services-Offerings\/default.aspx#gsc.tab=0\" target=\"_blank\" rel=\"noopener\">\ud074\ub9ac\ub2c9<\/a>\uc774 \uc788\ub294 \ubbf8\uad6d\uc5d0\uc11c 2\ubc88\uc9f8\ub85c \ud070 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \ubcf4\ud5d8\uc0ac\uc778 Humana\uac00 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc774\ub7f0 \ubcc0\ud654\uc758 \uae30\ubc18\uc774 \ub418\ub294 \uac83\uc740 \uac00\uce58 \uc911\uc2ec \uce58\ub8cc\ub97c \ud5a5\ud55c \uc810\uc9c4\uc801\uc778 \uc9c4\ud589\uc785\ub2c8\ub2e4. \uba54\ub514\ucf00\uc5b4 \ubc0f \uba54\ub514\ucf00\uc774\ub4dc \ud601\uc2e0\uc13c\ud130\ub294 2030\ub144\uae4c\uc9c0 \ubaa8\ub4e0 \uba54\ub514\ucf00\uc5b4 \uc218\ud61c\uc790\ub4e4\uc774 \ucc45\uc784 \uc788\ub294 \uce58\ub8cc \uad00\uacc4 \ub610\ub294 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubc34\ud2f0\uc9c0 \ud50c\ub79c\uc5d0 \uc18d\ud558\ub294 \uac83\uc744 <a href=\"https:\/\/www.cms.gov\/priorities\/innovation\/strategic-direction-whitepaper\" target=\"_blank\" rel=\"noopener\">\ubaa9\ud45c<\/a>\ub85c \uc0bc\uc558\uc73c\uba70, \ub300\ubd80\ubd84\uc758 \uba54\ub514\ucf00\uc774\ub4dc \uac00\uc785\uc790\ub4e4\uc774 \uc774\ub7f0 \uacc4\ud68d\uc5d0 \uc18d\ud558\ub3c4\ub85d \ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc804\ud1b5\uc801\uc73c\ub85cBCBS\ud50c\ub79c(Blue Cross, Blue Shield: \uc9c1\uc7a5\uc758\ub8cc\ubcf4\ud5d8)\uc740 \ud574\ub2f9 \uc8fc\uc758 \uc81c\uacf5\uc790\ub4e4\uc5d0\uac8c \ubcc0\ud615\ub41c VBC(\uac00\uce58 \uc911\uc2ec\uce58\ub8cc)\ub97c \uc81c\uacf5\ud569\ub2c8\ub2e4. \uc790\ud68c\uc0ac\ub97c \ud3ec\ud568\ud574 Amazon, CVS, Walgreens, Optum, Humana\ub294 \ubaa8\ub450 MSPP(Medicare Shared Savings Program: \uba54\ub514\ucf00\uc5b4 \uacf5\ub3d9 \uc800\ucd95 \ud504\ub85c\uadf8\ub7a8),\u00a0<a href=\"https:\/\/data.cms.gov\/medicare-shared-savings-program\/accountable-care-organization-participants\/data\" target=\"_blank\" rel=\"noopener\">ACO<\/a>(Accountable Care Organization: \ucc45\uc784 \uc758\ub8cc\uc870\uc9c1)\ub610\ub294 \ucd5c\uadfc\uc5d0 \uc2dc\uc791\ub41c <a href=\"https:\/\/www.cms.gov\/priorities\/innovation\/media\/document\/aco-reach-py23-participants\" target=\"_blank\" rel=\"noopener\">ACO REACH<\/a>\u00a0\ud504\ub85c\uadf8\ub7a8\uc5d0 \ucc38\uc5ec\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14031 size-full\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture2-1-1.png\" alt=\"\" width=\"624\" height=\"363\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture2-1-1.png 624w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture2-1-1-300x175.png 300w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2023\/12\/Picture2-1-1-69x40.png 69w\" sizes=\"auto, (max-width: 624px) 100vw, 624px\" \/><\/p>\n<p>\ucd9c\ucc98: \uc758\ub8cc \uc9c0\ubd88 \ud559\uc2b5 \ubc0f \ud589\ub3d9 <a href=\"https:\/\/hcp-lan.org\/apm-measurement-effort\/2023-apm\/\" target=\"_blank\" rel=\"noopener\">\ub124\ud2b8\uc6cc\ud06c<\/a>. \uc9c4\ud589\ub960 \uce21\uc815: \uc0c1\uc5c5, \uc758\ub8cc \ubcf4\uc870\uae08, \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubc34\ud2f0\uc9c0 \ubc0f \uc804\ud1b5\uc801\uc778 \uba54\ub514\ucf00\uc5b4 \ud504\ub85c\uadf8\ub7a8\uc5d0\uc11c \ub300\uccb4 \uc9c0\ubd88 \ubaa8\ub378 \ucc44\ud0dd. 2023\ub144 10\uc6d4 30\uc77c.<\/p>\n<p>\ud32c\ub370\ubbf9\uc73c\ub85c \uc778\ud574 \uac74\uac15\uc5d0 \ub300\ud55c \uc0ac\ud68c\uc801 \uacb0\uc815 \uc694\uc778\ub4e4\uc774 \uc5b4\ud718\uc5d0 \ud3ec\ud568\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uba54\ub514\ucf00\uc5b4\ub294 \uac74\uac15 \ud3c9\ub4f1\uc744 \uc9c0\uc9c0\ud558\uba70 <a href=\"https:\/\/www.aapc.com\/blog\/87187-new-z-codes-capture-more-social-determinants-of-health\/\" target=\"_blank\" rel=\"noopener\">2016\ub144\uc5d0<\/a> \ud658\uc790\uc758 \uc0ac\ud68c\uc801 \ud544\uc694\ub97c \ucd94\uc801\ud558\uae30\uc704\ud55c Z\ucf54\ub4dc\ub97c \ub3c4\uc785\ud588\uace0, <a href=\"https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/aco-reach\" target=\"_blank\" rel=\"noopener\">ACO REACH<\/a>\ub294 \ucc38\uac00\uc790\ub4e4\uc5d0\uac8c \u201c\uac74\uac15 \uaca9\ucc28\ub97c \ud574\uacb0\ud558\uae30 \uc704\ud55c \uce21\uc815\uac00\ub2a5\ud55c \ubcc0\ud654\ub97c \uc774\ub8e8\ub3c4\ub85d\u201d \uc694\uad6c\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc774 \uc0b0\uc5c5\uc758 \ucd08\uc810\uc740 \uc0ac\ud68c\uc801 \uacb0\uc815 \uc694\uc778\uc774 \uac74\uac15 \uacb0\uacfc\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce58\ub294 \ud55c \uacc4\uc18d\ud574\uc11c \uc6b0\ub9ac\uc640 \ud568\uaed8 \ud560 \uac83\uc774\uba70 \ubcc0\ud654\uac00 \uc8fc\ubcc0\uc5d0\uc11c \uc810\uc9c4\uc801\uc73c\ub85c \uc774\ub8e8\uc5b4\uc9c0\ub354\ub77c\ub3c4 \uc774 \uc8fc\uc81c\uc5d0 \ub300\ud55c \uc9d1\uc911\uc740 \uc9c0\uc18d\ub420 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<h3><\/h3>\n<h3><strong>2024\ub144 \ub300\ud1b5\ub839 \uc120\uac70<\/strong><\/h3>\n<p>\uc218\uc2ed\ub144 \ub9cc\uc5d0 \ucc98\uc74c\uc73c\ub85c\u00a0<a href=\"https:\/\/www.msn.com\/en-us\/news\/politics\/some-republicans-sound-alarm-after-trump-revives-focus-on-obamacare\/ar-AA1kNj2a\" target=\"_blank\" rel=\"noopener\">\uacf5\ud654\ub2f9\uc758 \ub300\ud1b5\ub839 \ud6c4\ubcf4\uc778 Donald Trump\uac00 <\/a>\u00a0\uac74\uac15\ubcf4\ud5d8\uac1c\ud601\ubc95(Affordable Care Act, \uc624\ubc14\ub9c8\ucf00\uc5b4)\ub97c \ud3d0\uc9c0\ud558\uaca0\ub2e4\uace0 \uacf5\uc5b8\ud588\uc74c\uc5d0\ub3c4 \ubd88\uad6c\ud558\uace0, \uc758\ub8cc \uac1c\ud601\uc774 \ub300\ud1b5\ub839 \uc120\uac70 \uc6b4\ub3d9\uc5d0\uc11c \uc911\uc2ec\uc801\uc778 \uc5ed\ud560\uc744 \ud558\uc9c0\ub294 \uc54a\uc744 \uac83\uc73c\ub85c \ubcf4\uc785\ub2c8\ub2e4. \u00a0<a href=\"https:\/\/www.nbcnews.com\/politics\/congress\/republicans-abandon-obamacare-repeal-rcna49538\" target=\"_blank\" rel=\"noopener\">\uacf5\ud654\ub2f9\uc740 \uc624\ubc14\ub9c8\ucf00\uc5b4\ub97c \uc644\uc804\ud788 \ub4a4\uc9d1\uc73c\ub824\ub294 \uc2dc\ub3c4\uc758 \ubc29\ud5a5\uc744 \ud2c0\uc5c8\uace0,<\/a> \ubc95\uc6d0\uc5d0\uc11c\ub294 \uc608\ubc29\uce58\ub8cc\ub098 \ud53c\uc784 \ubcf4\uc7a5\uacfc \uac19\uc740 \ubc95\uc758 \uc77c\ubd80\ub97c \ubb34\ud6a8\ud654\ud558\ub824\ub294 \uc18c\uc1a1\uc774 \uacc4\uc18d\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ubbfc\uc8fc\ub2f9\uc758 \uc758\uc6d0\ub4e4\uc740 \ubbf8\uad6d \uad6c\uc870\uacc4\ud68d(American Rescue Plan)\uacfc \uc778\ud50c\ub808\uc774\uc158 \uac10\ucd95\ubc95\uc744 \ud1b5\ud574 \uc624\ubc14\ub9c8\ucf00\uc5b4\ub97c \uba87\ucc28\ub840 \uac1c\uc120\ud588\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc758\ud68c\uac00 2022\ub144 \uc778\ud50c\ub808\uc774\uc158 \uac10\ucd95\ubc95\uc744 \uc81c\uc815\ud55c \uac83\uc740 \uc81c\uc57d\uc0b0\uc5c5\uc5d0 \uad11\ubc94\uc704\ud55c \uc601\ud5a5\uc744 \ubbf8\uce58\uace0 \uc788\uc73c\uba70, Biden\uc7ac\uc120 \ucea0\ud398\uc778\uc744 \ud1b5\ud574 \ucd94\uc9c4\ub420 \uac83\uc785\ub2c8\ub2e4. \ud558\uc9c0\ub9cc, Jo Biden \ub300\ud1b5\ub839\uc774\ub098 \uadf8\uc758 \uc7a0\uc7ac\uc801\uc778 \uacbd\uc7c1\uc790\uc778Donald Trump \uc804 \ub300\ud1b5\ub839\uc744 \ud1b5\ud574 \uc0c8\ub86d\uac8c \uac1c\ud601\ub418\ub294 \ub0b4\uc6a9\uc740 \uc5c6\uc744 \uac83\uc73c\ub85c \uc608\uc0c1\ub429\ub2c8\ub2e4. \uc778\ud50c\ub808\uc774\uc158 \uac10\ucd95\ubc95\uc740 \uc624\ubc14\ub9c8\ucf00\uc5b4\uac00 \ucd08\uae30 \uba87 \ub144 \ub3d9\uc548 \uadf8\ub7ac\ub358 \uac83\ucc98\ub7fc \uc815\uce58\uc778\ub4e4\uc774 \uac70\uc758 \ubc18\ub300\ud558\uc9c0 \uc54a\uc744 \uac83\uc774\ubbc0\ub85c \uc0c8 \ud589\uc815\ubd80\uc5d0 \uc758\ud55c \ubcc0\ud654\uac00 \uadf8\ub2e4\uc9c0 \ud06c\uc9c0 \uc54a\uc744 \uac83\uc785\ub2c8\ub2e4. \uba54\ub514\ucf00\uc5b4\uc5d0 \uc18d\ud55c \uc5f0\ub839 \uc778\uad6c\uc5d0 \ubbf8\uce58\ub294 \uc601\ud5a5\uc744 \uace0\ub824\ud560 \ub54c, \uc778\ud50c\ub808\uc774\uc158 \uac10\ucd95\ubc95\uc5d0 \ud3ec\ud568\ub41c \uc758\uc57d\ud488 \ud611\uc0c1\uacfc \uc778\ud50c\ub808\uc774\uc158 \ub9ac\ubca0\uc774\ud2b8\uc5d0 \uad00\ud55c \uc870\ud56d\uc758 \ubcc0\uacbd\uc740 \uc5b4\ub290 \ud589\uc815\ubd80\uc5d0\uc11c\ub3c4 \uc904\uc5b4\ub4e4\uc9c0\ub294 \uc54a\uc744 \uac83\uc73c\ub85c \ubcf4\uc785\ub2c8\ub2e4. PBM\uc5d0 \uad00\ud55c \uaddc\uc81c\ub294 \ucd08\ub2f9\uc801\uc778 \uc9c0\uc9c0\ub85c <a href=\"https:\/\/thehill.com\/homenews\/senate\/4302515-pbm-mental-health-legislation-advances-through-senate-finance-committee\/\" target=\"_blank\" rel=\"noopener\">\uc0c1\uc6d0\uc5d0\uc11c\uc758 \uc785\ubc95\uc774 \uc8fc\ubaa9<\/a>\uc744 \ubc1b\uc544\uc654\uc9c0\ub9cc, 2024\ub144 \ucea0\ud398\uc778\uc5d0\uc11c\ub294 \ud070 \uc8fc\ubaa9\uc744 \ubc1b\uc9c0\ub294 \ubabb\ud560 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<p>2025\ub144\uc5d0 <a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2022.01293\" target=\"_blank\" rel=\"noopener\">\uac15\ud654\ub41c \ubcf4\uc870\uae08\uc774 \ub9cc\ub8cc<\/a>\u00a0\ub418\uba74 \ub610 \ub2e4\ub978 \u201c\ubcf4\uc870\uae08 \uc808\ubcbd\u201d\uc774 \ub3c4\ub798\ud558\uba70 \uc758\ub8cc \uac1c\ud601\uc774 \uc8fc\ubaa9\uc744 \ubc1b\uc744 \uc218\ub294 \uc788\uc9c0\ub9cc, 2024\ub144 \ub300\ud1b5\ub839 \ucea0\ud398\uc778\uc758 \uc8fc\uc694\uc8fc\uc81c \uc911 5\uc704 \uc2ec\uc9c0\uc5b4\ub294 10\uc704\uad8c \ub0b4\uc5d0\ub3c4 \uc9c4\uc785\ud558\uc9c0 \ubabb\ud560 \uac83\uc785\ub2c8\ub2e4. \ub9cc\uc57d 2025\ub144\uc5d0 \uc758\ud68c\uac00 \ubd84\uc5f4\ub418\uac70\ub098, \uacf5\ud654\ub2f9\uc758 \uc644\uc804 \ud1b5\uc81c \ud604\uc0c1\uc774 \ubc8c\uc5b4\uc9c4\ub2e4\uba74 \ubcf4\uc870\uae08 \uac31\uc2e0\uc740 \ub354\uc6b1 \uc5b4\ub824\uc6c0\uc744 \uacaa\uc744 \uac83\uc73c\ub85c \uc608\uc0c1\ub429\ub2c8\ub2e4.<\/p>\n<h3><\/h3>\n<h3><strong>\ubcf4\ud5d8 \uac00\uc785<\/strong><\/h3>\n<p>2023\ub144 4\uc6d4\ubd80\ud130 \uba54\ub514\ucf00\uc774\ub4dc \uac00\uc785\uc790 \uc720\uc9c0 \uc870\ud56d\uc758 \ud6a8\ub825\uc744 \uc885\ub8cc\ud568\uc5d0 \ub530\ub77c, \ube44\ub85d \uba54\ub514\ucf00\uc774\ub4dc\ub294 \uac00\uc785\uc5d0 \uc788\uc5b4 \ud604\uc800\ud55c \uac10\uc18c\uc138\ub97c \ubcf4\uc774\uaca0\uc9c0\ub9cc, 2024 \ub144 \ub3d9\uc548 \uac74\uac15 \ubcf4\ud5d8 \uc2dc\uc7a5\uc758 \ubaa8\ub4e0 \ubd80\ubb38\uc740 \uae30\ud68c\uc640 \ub3c4\uc804\uc744 \ub9c8\uc8fc\ud558\uac8c \ub420 \uac83\uc785\ub2c8\ub2e4. \uac74\uac15\ubcf4\ud5d8 \uac70\ub798\uc18c\uc640 \uba54\ub514\ucf00\uc774\ub4dc \uc5b4\ub4dc\ubc34\ud2f0\uc9c0 \uc2dc\uc7a5\uc740 \uc9c0\uc18d\uc801\uc73c\ub85c \uac74\uac15\ud55c \uc218\uc775\uc744 \uac70\ub450\uc5b4\uc57c\ub9cc \ud569\ub2c8\ub2e4.<\/p>\n<p>\uba54\ub514\ucf00\uc774\ub4dc \uac00\uc785\uc790 \uc720\uc9c0\uc870\ud56d \ud6a8\ub825 \uc885\ub8cc\uc758 \uc804\uccb4\uc801\uc778 \uc601\ud5a5\uc740 2024\ub144 \uc911\ubc18\ucbe4 \ub098\ud0c0\ub0a0 \uac83\uc73c\ub85c \uc608\uc0c1\ub418\uc9c0\ub9cc, \uba54\ub514\ucf00\uc774\ub4dc\ub97c \ud0c8\ud1f4\ud558\ub294 \uc218\ub294 \uc608\uc0c1\ubcf4\ub2e4 \uc801\uc5c8\uc73c\uba70 \ub300\ubd80\ubd84\uc758 \uacbd\uc6b0 \uae30\uc220\uc801\uc778 \uc694\uc778\uc5d0 \uc758\ud55c \ud0c8\ud1f4\ub85c \uac00\uc785\uc790\uaca9\uc774 \ub354 \uc774\uc0c1 \uc720\uc9c0\ub418\uc9c0 \uc54a\uc544\uc11c \ud0c8\ud1f4\ud55c \uac83\uc740 \uc544\ub2c8\uc5c8\uc2b5\ub2c8\ub2e4. <a href=\"https:\/\/www.hsd.state.nm.us\/2023\/08\/11\/human-services-department-announces-intent-to-award-medicaid-contracts\/\" target=\"_blank\" rel=\"noopener\">\ub274\uba55\uc2dc\ucf54\uc640 \uac19\uc740<\/a> \uc77c\ubd80 \uc8fc\uc5d0\uc11c\ub294 \uc0c8\ub85c\uc6b4 \uba54\ub514\ucf00\uc774\ub4dcMCO(Managed Care Organization)\uacc4\uc57d\uc744 \uc9c0\uc5f0\uc2dc\ucf1c \ud604\uc7ac\uc758 \uc790\uaca9 \ubc0f \uc0c1\ud0dc\ub97c \ud655\uc778\ud55c \ud6c4 \uac00\uc785\uc744 \uc2dc\uc791\ud588\uc2b5\ub2c8\ub2e4. \u00a0Centene \uc640 \uac19\uc774 \ub300\uaddc\ubaa8\uc758 \uba54\ub514\ucf00\uc774\ub4dc \uac00\uc785\uc790\ub97c \ubcf4\uc720\ud55c \ud68c\uc0ac\ub4e4\uc740 \ubcf4\ud5d8\uac00\uc785\uc790 \uc911 \ubcf4\ud5d8\uc790\uaca9\uc744 \uc0c1\uc2e4\ud55c \uc0ac\ub78c\ub4e4\uc744 \ubcf4\uc870\uae08\uc774 \ub300\ubd80\ubd84\uc758 \ubcf4\ud5d8\ube44\ub97c \uc0c1\ud658\ud560 \uc218 \uc788\ub294 \ubcf4\ud5d8\uc73c\ub85c \uc804\ud658\uc2dc\ucf30\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ubcf4\uc7a5 \ub300\uc0c1\uc774 \uc544\ub2cc \uace0\uc18c\ub4dd\uc790\uc5d0\uac8c \uc18c\ub4dd \uae30\ubc18 \ubcf4\uc870\uae08\uc744 \uc81c\uacf5\ud558\uba74\uc11c \uba54\ub514\ucf00\uc774\ub4dc \ubcf4\uc7a5\uc744 \uc0c1\uc2e4\ud55c \uc0ac\ub78c\ub4e4\uae4c\uc9c0 \ubcf4\uc7a5 \ubc94\uc704\ub97c \ud655\uc7a5\ud558\ub294 \ubcf4\ud5d8 \uc804\ud658(exchange plan)\uc740 \ubcf4\uc7a5 \ubc94\uc704\uc5d0 \uc788\uc5b4 \ud544\uc218\uc801\uc778 \ubd80\ubd84\uc774 \ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uba54\ub514\ucf00\uc774\ub4dc\ub97c \ubc1b\uc744 \uc790\uaca9\uc774 \uc5c6\ub294 \uc0ac\ub78c\ub4e4\uc774 \ub354 \uc774\uc0c1 \uc9c1\uc7a5\ubcf4\ud5d8\uc5d0 \uac00\uc785\ud560 \uc218 \uc5c6\ub2e4\uba74, \uc0c1\uc5c5\uc801 \uadf8\ub8f9\uc5d0 \ub300\ud55c \ubcf4\ud5d8 \ud50c\ub79c\uc740 \uc5b4\ub824\uc6c0\uc744 \uacaa\uac8c \ub429\ub2c8\ub2e4. \u201c\ubcf4\uc870\uae08 \uc808\ubcbd\u201d\uc744 \ud53c\ud558\uace0 \ub300\uc911\uc801\uc73c\ub85c \ud655\ub300\ub41c \ubcf4\uc870\uae08\uc744 2025\ub144 \ub9cc\uae30\uae4c\uc9c0 \uc720\uc9c0\ud574\uc57c \ud55c\ub2e4\ub294 \uc555\ubc15\uc774 \ucee4\uc9c0\uaca0\uc9c0\ub9cc, 2024\ub144\uc740 \uc804\ubc18\uc801\uc73c\ub85c \ubcf4\ud5d8\uc804\ud658\uc774 \uafb8\uc900\ud788 \uc9c4\ud589\ud558\ub294 \ud55c \ud574\uac00 \ub418\uc5b4\uc57c \ud560 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<p>\uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \ud50c\ub79c\uc740 \ubaa8\ub4e0 \uba54\ub514\ucf00\uc5b4 \uac00\uc785\uc790\uc758 \uc808\ubc18\uc774\uc0c1\uc744 \ubcf4\uc7a5\ud558\uba70, \uba54\ub514\ucf00\uc5b4\ub97c \uac00\uc785\ud558\ub294 \uace0\ub839\uc778\uad6c\uce35\uc5d0\uc11c \uc9c0\uc18d\uc801\uc73c\ub85c \uc131\uc7a5\ud560 \uac83\uc73c\ub85c \uc608\uc0c1\ub429\ub2c8\ub2e4. \uadf8\ub7ec\ub098, \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \ud50c\ub79c\uc758 \uc131\uc7a5\uc744 \uc81c\ub3d9\ud560 \uc218 \uc788\ub294 \uc694\uc778\ub4e4\uc774 \ubcf4\ud5d8\uc0ac\ub85c\ubd80\ud130 \ub098\ud0c0\ub098\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ub9ce\uc740 \ubcf4\ud5d8\uc0ac\ub4e4\uc740 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \uc81c\uacf5\uc790 \ub124\ud2b8\uc6cc\ud06c\ub97c \ub5a0\ub098\uace0 \uc788\uc73c\uba70, \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc988 \uc0ac\uc5c5\uc5d0\uc11c\uc758 \uc911\ub300\ud55c \uc190\uc2e4\uacfc \ub192\uc740 \uccad\uad6c \ube44\uc728, \uc0ac\uc804 \uc2b9\uc778 \uac70\uc808 \ub4f1\uc744 \ubcf4\uace0\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \uc0ac\uc5c5\uc5d0\uc11c \ucca0\uc218\ud558\ub294 \uc758\ub8cc\ud68c\uc0ac\ub85c\ub294 \uc0cc\ub514\uc5d0\uc774\uace0\uc758 Scripps Health, \uc624\ud074\ub77c\ud638\ub9c8\uc758 Stillwater Medical Center, \uadf8\ub9ac\uace0 <a href=\"https:\/\/www.medpagetoday.com\/special-reports\/exclusives\/106483\" target=\"_blank\" rel=\"noopener\">\uc0ac\uc6b0\uc2a4\ub2e4\ucf54\ud0c0\uc758 Brookings Health System<\/a>\uc774 \ud3ec\ud568\ub418\uc5b4 \uc788\uc2b5\ub2c8\ub2e4. \ucf04\ud130\ud0a4 \uc8fc\uc5d0\uc11c\ub294 <a href=\"https:\/\/cidev.uky.edu\/kentuckyhealthnews\/2023\/10\/10\/baptist-health-out-of-humana-medicare-advantage-network-since-sept-22-is-now-in-a-similar-dispute-with-insurer-united-healthcare\/\" target=\"_blank\" rel=\"noopener\">\ub8e8\uc774\ube4c\uc5d0 \ubcf8\uc0ac\ub97c \ub454 \uce68\ub840\uad50 \uac74\uac15\ubcf4\ud5d8\uc774 \ub8e8\uc774\ube4c\uc5d0 \ubcf8\uc0ac\ub97c \ub454 \ubcf4\ud5d8\uc0ac\uc778Humana\ub97c \ucca0\uc218\uc2dc\ucf30\uc2b5\ub2c8\ub2e4.<\/a> \ub124\ud2b8\uc6cc\ud06c\uc5d0 \uac00\uc785\ud55c \uc81c\uacf5\uc5c5\uccb4 \uc218\ub294 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \ud50c\ub79c \uac00\uc785\uc790\ub4e4\uc758 \ud575\uc2ec \uc120\ud0dd\uc694\uc778\uc785\ub2c8\ub2e4. \uacc4\uc57d\uc744 \uc885\ub8cc\ud558\ub294 \uc758\ub8cc\ud68c\uc0ac\ub4e4\uc774 \ub298\uc5b4\ub09c\ub2e4\uba74, \ud5a5\ud6c4 \uc218\ub144\uac04 \uba54\ub514\ucf00\uc5b4 \uc5b4\ub4dc\ubca4\ud2f0\uc9c0 \uac00\uc785\uc790 \uc99d\uac00\uc728\uc774 \uac10\uc18c\ud560 \uc218\ub3c4 \uc788\uc744 \uac83\uc785\ub2c8\ub2e4.<\/p>\n<p>\uc774\ubc88 \uae00\uc758 \uc800\uc790\ub294 \ub2e4\uc74c\uacfc \uac19\uc2b5\ub2c8\ub2e4: Roy Moore, \uc2dc\ub2c8\uc5b4 \ud5ec\uc2a4\ucf00\uc5b4 \ub9ac\uc11c\uce58 \ubc0f \ub370\uc774\ud130 \ubd84\uc11d\uac00, Ren\u00e9e Burnham \ub9e4\ub2c8\uc800, \ud5ec\uc2a4\ucf00\uc5b4 \ub9ac\uc11c\uce58 \ubc0f \ub370\uc774\ud130 \ubd84\uc11d\uac00\/\ucf58\ud150\uce20, Mark Cherry, \ub9ac\ub4dc \ud5ec\uc2a4\ucf00\uc5b4 \ub9ac\uc11c\uce58 \ubc0f \ub370\uc774\ud130 \ubd84\uc11d\uac00\/\ucf58\ud150\uce20, Bill Melville \ub9ac\ub4dc \ud5ec\uc2a4\ucf00\uc5b4 \ub9ac\uc11c\uce58 \ubc0f \ub370\uc774\ud130 \ubd84\uc11d\uac00\/\ucf58\ud150\uce20<\/p>\n<p><em>IDN\uc758 \ub3d9\uc778\uc5d0 \ub300\ud55c \uc790\uc138\ud55c \ub0b4\uc6a9\uc740 \ucd5c\uadfc \uac1c\ucd5c\ub418\uc5c8\ub358 <a href=\"https:\/\/clarivate.com\/webinars\/idn-and-provider-trends-how-patient-flow-and-population-health-will-define-the-next-era-of-healthcare-in-the-u-s\/\">IDN \ubc0f \ubcf4\ud5d8\uc11c\ube44\uc2a4 \uc81c\uacf5\uc790 \ud2b8\ub80c\ub4dc \uc6e8\ube44\ub098<\/a>\ub97c \ucc38\uc870\ud574\uc8fc\uc2ed\uc2dc\uc624. \u00a0\ud074\ub798\ub9ac\ubca0\uc774\ud2b8\uac00 \uc0dd\uba85\uacfc\ud559 \uae30\uc5c5\ub4e4\uc774 \ubcf4\ud5d8\uc0ac\uc758 \ud658\uacbd\uc744 \uc774\ud574\ud558\uace0 \ub9c8\ucf13\uc561\uc138\uc2a4\ub97c \ud0d0\uc0c9\ud558\ub294\ub370 \uc5b4\ub5a4 \ub3c4\uc6c0\uc744 \uc904 \uc218 \uc788\ub294\uc9c0 \uc54c\uc544\ubcf4\uc2dc\ub824\uba74 <a href=\"https:\/\/clarivate.com\/ko\/products\/biopharma\/market-access\/health-economics-and-value\/\">\uc774\uacf3<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ucc98\ubc29\uc57d\uae09\uc5ec\uad00\ub9ac \ud68c\uc0ac(PBM), IDN(\ud1b5\ud569 \uc758\ub8cc\uc804\ub2ec \ub124\ud2b8\uc6cc\ud06c)\uac04\uc758 M&amp;A, \ube44\uc804\ud1b5\uc801\uc778 \ud5ec\uc2a4\ucf00\uc5b4 \uae30\uc5c5\ub4e4\uc5d0 \uc758\ud55c \ud63c\ub780, \ubcf4\ud5d8 \uac00\uc785 \u00a0\ubc0f 2024\ub144 \ub300\ud1b5\ub839 \uc120\uac70 \ub4f1\uc774 2024\ub144 \ubbf8\uad6d \ub9c8\ucf13 \uc561\uc138\uc2a4 \uc2dc\uc7a5\uc5d0\uc11c \uc8fc\ubaa9\ud574\uc57c \ud560 5\uac00\uc9c0 \uc601\uc5ed\uc73c\ub85c \uaf3d\ud614\uc2b5\ub2c8\ub2e4. \ud074\ub798\ub9ac\ubca0\uc774\ud2b8 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