近些年来，美国国内涌现了一批新的价值导向的医疗模式，如“可信赖医疗组织”（accountable care organizations），以及以病人为中心的“医疗之家”。
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“可信赖医疗组织”主要包括医疗保健专业人员及医疗保健提供者的多专科门诊（例如医院）。
These ACOs may include multispecialty groups of health care professionals and providers (such as hospitals).
开展试点项目的主要是一些“可信赖医疗组织”，这些机构会在规定的时间内对病人所接受治疗的质量和成本全权负责。
Among the new programs are accountable care organizations (ACOs), which will take responsibility for the costs and quality of care received by their patients over a set period.
新的法案允许这些“可信赖医疗组织”在保证医疗质量的同时将其成本降至基准水平以下，并将节约的医保报销费用的一部分来作为这些组织的奖励。
The new law allows ACOs that meet quality-of-care targets and reduce their costs relative to a spending benchmark to receive a share of the savings they achieve for the Medicare program.
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