By John C. Langenbrunner, Cheryl Cashin, Sheila O'Dougherty
Strategic procuring of overall healthiness providers includes a continuing look for the simplest how one can maximize healthiness procedure functionality by way of determining which interventions will be bought, from whom those will be bought, and the way to pay for them. In such an association, the passive cashier is changed via an clever consumer which can concentration scarce assets on current and rising priorities instead of carrying on with entrenched ancient spending patterns.
Having experimented with alternative ways of paying companies of wellbeing and fitness care prone, nations more and more need to know not just what to do whilst paying prone, but additionally tips on how to do it, relatively the right way to layout, deal with, and enforce the transition from present to reformed platforms. 'Designing and imposing surgeon cost structures: How-To Manuals' addresses this need.
The ebook has chapters on 3 of the simplest supplier fee platforms: fundamental care in keeping with capita (capitation) fee, case-based health facility cost, and clinic international budgets. it is usually a primer on a moment coverage lever utilized by buyers, specifically, contracting. This primer might be specifically worthy with one supplier money process: sanatorium worldwide budgets. The volume’s ultimate bankruptcy offers an summary for designing, launching, and operating a well-being administration details process, in addition to the mandatory infrastructure for strategic deciding to buy.
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Extra resources for Designing and Implementing Health Care Provider Payment Systems: How-To Manuals
Willis, and P. Feinstein. 1984. ” Health Care Financing Review: Annual Supplement. Kahn, K. , E. B. Keeler, M. J. Sherwood, W. H. Rogers, D. Draper, S. S. Bentow, E. J. Reinisch, L. V. Rubenstein, J. Kosecoff, and R. H. Brook. 1990. ” Journal of the American Medical Association 264 (15): 1984–1988. Kutzin, J. 2001. ” Health Policy 56 (3): 171–204. Kwon, S. 2003. ” Health Policy and Planning 18 (1): 84–92. , and M. Wiley. 2002. ” Hospitals in a Changing Europe. Buckingham, United Kingdom: Open University Press.
This is often called “retrospective cost-based” payment, a term commonly applied in the United States, among other countries. The method can also be output-based if there is a fixed-fee schedule (as in Canada, Germany, and Japan) and services are bundled to some degree: the provider is paid the fixed fee for the predefined service regardless of the costs incurred. In this type of fee-for-service arrangement, the provider has an incentive to increase the number of services overall during the encounter and to reduce the inputs used per service.
1993. ” Health Care Financing Review 14 (3): 55–76. WHO (World Health Organization). 1978. Alma Ata Declaration of Primary Health Care: Report of the International Conference on Primary Health Care. Geneva. ———. 2000. The World Health Report 2000. Health Systems: Improving Performance. Geneva. CHAPTER 1 Primary Health Care Per Capita Payment Systems Cheryl Cashin, Olga Gubonova, Ninel Kadyrova, Nadezhda Khe, Evgeniy Kutanov, Mark McEuen, Sheila O’Dougherty, Subrata Routh, and Olga Zues OVERVIEW OF PHC PROVIDER PAYMENT SYSTEMS This chapter is based on a synthesis of international evidence and experience related to the design and implementation1 of per capita primary health care (PHC) payment systems.
Designing and Implementing Health Care Provider Payment Systems: How-To Manuals by John C. Langenbrunner, Cheryl Cashin, Sheila O'Dougherty