We analyse the way, how these systems can influence provider behaviour and, a fortiori, contribute to attain the general objectives of health care, i.e. 2002. The typology describes payments in terms of the scope of payment (Target population, Time, Sectors), the participation of providers (Provider coverage, Financial pooling/sharing), and the single provider/patient involvement (Income, Multiple disease/needs focus, and Quality measurement). Accessibility A typology for provider payment systems in health care A typology to classify provider payment systems from an incentive point of view is developed. ", Michel Mougeot & Florence Naegelen, 2008. An official website of the United States government. 2013 Dec;113(3):296-304. doi: 10.1016/j.healthpol.2013.07.007. Towards incentivising integration: A typology of payments for integrated care. Bethesda, MD 20894, Web Policies Unable to load your collection due to an error, Unable to load your delegates due to an error. Health Res Policy Syst. Careers. Short- and intermediate-term impact of DTC telemedicine consultations on subsequent healthcare consumption. E-mail address: marc.jegers@vub.ac.be (M. Jegers). Please, try again. We use a systematic review combined with example integrated care programmes identified from practice in the Horizon2020 SELFIE project to inform a new typology of payment mechanisms for integrated care. 2002 Elsevier Science Ireland Ltd. All rights reserved. Economic behaviour predicts that providers produce until marginal income equals marginal cost. A typology for provider payment systems in health care . ", David Crainich & Herv Leleu & Ana Mauleon, 2011. This site needs JavaScript to work properly. There is a gap between rhetoric on the need for new payment mechanisms and those implemented in practice. These different characteristics are likely to influence provider behaviour in different ways. The typology is illustrated with anecdotal examples from different countries payment systems. The https:// ensures that you are connecting to the A typology for provider payment systems in health care. Health Policy. The typology provides a basis to improve financial incentives supporting more effective and efficient integrated care systems. 2023 Feb 21;20(5):3857. doi: 10.3390/ijerph20053857. 256 M. Jegers et al. Providers can pursue different types of objectives [3,6,13], but to illustrate the typology, it is assumed that providers aim at maximising profits. We consider the behavior of nonprot nursing homes under dierent payment schemes and empirically investigate the implications of prospective payments on nursing home costs under tightly regulated quality aspects. ". The effect of financial incentives on the quality of health care provided by primary care physicians. Health policy EconPapers Home 46(2), pages 77-96, January. If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation. Prospective payment In retrospective systems, the providers own costs are the basis for reimbursement ex post whereas in prospective systems payments are determined ex ante without any link to the real costs of the individual provider. ), or their login data. It allow to create list of users contirbution. Health Policy 60 (2002) 255273 A typology for provider payment systems in health care Marc Jegers a, *, Katrien Kesteloot b,c , Diana De Graeve d , Willem Gilles c a Free Uniersity of Brussels (VUB), Micro Economics of the Profit and Non Profit Sectors, Pleinlaan 2, B-1050 Brussels, Belgium b Uniersity Hospitals, Leuen, Belgium c Catholic Uniersity of Leuen (KULeuen), Center for Health Serices and Nursing Research, Leuen, Belgium d Uniersity of Antwerp (UFSIA), Department of General and Public Economics, Antwerp, Belgium Abstract Received 23 April 2001; accepted 3 September 2001 www.elsevier.com/locate/healthpol A typology to classify provider payment systems from an incentive point of view is developed. This site needs JavaScript to work properly. If the error persists, contact the administrator by writing to support@infona.pl. Jegers M, Kesteloot K, Graeve D, Gilles W (2002) A typology for provider payment systems in health care. Despite extensive risk adjustment, we interpret the associations both as effects of selection and treatments. The first dimension of the typology indicates whether there is a link between the provider's income and his activity. 2011 Sep 7;(9):CD008451. Statements. Please note that corrections may take a couple of weeks to filter through MaineCare recently implemented its new VBP supplemental sub-pool payments, totaling $600,000, which the Department will distribute each year to eligible hospitals based on performance on one or more quality measures. GP reimbursement 60, issue 3, 255-273, Date: 2002 Careers. Agyepong IA, Aryeetey GC, Nonvignon J, Asenso-Boadi F, Dzikunu H, Antwi E, Ankrah D, Adjei-Acquah C, Esena R, Aikins M, Arhinful DK. In variable systems, the provider has an ability to influence his earnings, contrary to fixed systems. Thirty-day mortality rates differed considerably between the countries with the highest rates in Hungary, Scotland, and Finland. / Jegers, Marc; Kesteloot, Katrien; De Graeve, D . Please use our enquiry form. PCI rates were highest in the Netherlands, followed by Sweden and Hungary. Diana De Graeve (Obfuscate( 'uantwerpen.be', 'diana.degraeve' )) and A typology for provider payment systems in health care. "Contracting-out health care services: a conceptual framework," Health Policy, Elsevier, vol. Copyright 2023 scite Inc. All rights reserved. Export reference: BibTeX doi: 10.1002/14651858.CD008451.pub2. official website and that any information you provide is encrypted 60, issue 3, 255-273 . A typology for provider payment systems in health care. Are you sure you want to delete your template? Epub 2018 Jul 11. Archive maintainers FAQ The first dimension of the typology indicates whether there is a link between the provider's income . ", Carroll, Kathleen & Ruseski, Jane, 2009. EN. KW - Humans. Medical insurance payment schemes and patient medical expenses: a cross-sectional study of lung cancer patients in urban China. Unknown, Got a question? Health Policy. We obtained our results from a dataset based on the administrative information systems of the populations of seven European countries. KW - Delivery of Health Care . Tel. National Library of Medicine quality of care, efficiency and accessibility. Scott A, Sivey P, Ait Ouakrim D, Willenberg L, Naccarella L, Furler J, Young D. Cochrane Database Syst Rev. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). RIS (EndNote, ProCite, RefMan) A typology for provider payment systems in health care . The first dimension of the typology indicates whether there is a link between the provider's income and his activity. Bour SS, Raaijmakers LHA, Bischoff EWMA, Goossens LMA, Rutten-van Mlken MPMH. These different characteristics are likely to influence provider behaviour in different ways. The payment method is to control the costs of the inpatient department. 1. No field of science has been suggested yet. quality of care, efficiency and accessibility. Defining Pooled' Place-Based' Budgets for Health and Social Care: A Scoping Review. In variable systems, the provider has an ability to influence his earnings, contrary to fixed systems. Sometimes investments (space and equipment) are financed through different channels. government, insurers, patients). Section 3 presents the classification system for HHR challenges. For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: . Please enable it to take advantage of the complete set of features! A typology for provider payment systems in health care. ", D. Crainich & H. Leleu & A. Maulon, 2011. Please enable it to take advantage of the complete set of features! Since the characteristics of a system on this level also influence the behaviour of caregivers, this dimension will be taken into consideration as well. This typology is useful to classify and compare different types of payment systems as prevailing in different countries, and provides a useful * Corresponding author. KW - Health systems reform. MeSH EN. Some concepts The distinction between fixed and variable payment systems is made on the basis of the relationship between activities and payment (obviously from a given viewpoint e.g. Alternative payment mechanisms, such as bundled payments, have been introduced without uniform definitions, and existing payment typologies are not suitable for describing them. Health systems reform; Integrated care; Payment typology; Provider payments. Copyright 2018 The Author(s). In retrospective systems, the provider's own costs are the basis for reimbursement ex post whereas in prospective systems payments are determined ex ante without any link to the real costs of the individual provider. The typology provides a basis to improve financial incentives supporting more effective and efficient integrated care systems. By using the Infona portal the user accepts automatic saving and using this information for portal operation purposes. AU - De Graeve, D. AU - Gilles, W. N1 - Health Policy, 60, 3, 2002 . Furthermore the most frequently used criteria to determine the providers income are discussed: per service, per diem, per case, per patient and per period. 2023 Feb 9;23(1):141. doi: 10.1186/s12913-023-09115-1. By continuing you agree to the use of cookies, Vrije Universiteit Brussel data protection policy. Furthermore the most frequently used criteria to determine the provider's income are discussed: per service, per diem, per case, per patient and per period. Stefan Meyer, 2015. Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study. TY - JOUR. 2022 Nov 17;22(4):11. doi: 10.5334/ijic.6458. strings of text saved by a browser on the user's device. ", Cox, James C. & Sadiraj, Vjollca & Schnier, Kurt E. & Sweeney, John F., 2016. Consequently, the macro-level is the relevant level for the payer. In variable systems, the provider has an ability to influence his earnings, contrary to fixed systems. Conclusion:The illustrative evidence adduced from the review demonstrates that capitation payment in primary care can create positive incentives but could also elicit un-intended effects. It, however, induces reduction in the quantity and quality of care provided and encourages skimming on inputs, underserving of patients in bad state of health, "dumping" of high risk patients and negatively affect patient-provider relationship. A typology for provider payment systems in health care. Cost sharing and supply, Bundled Medicare payment for acute and postacute care, Global budgeting in Germany: lessons for the United States, The German health care system and health care reform, Results and policy implications of the resource-based relative-value study. Bookshelf Marc Jegers, Katrien Kesteloot, Diana De Graeve and Willem Gilles. The RePEc plagiarism page, Marc Jegers, 2022 Sep 13;22(3):16. doi: 10.5334/ijic.6507. 2. English Deutsch Franais Espaol Portugus Italiano Romn Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Trke Suomi Latvian Lithuanian esk . SYNAT - Interdisciplinary System for Interactive Scientific and Scientific-Technical Information. 15(1), pages 73-97, March. 1, Katrien . Analogously to Aas [2] reimbursement systems for health care are defined as the way in which money is allocated to the provider of care 1 by health care payers (e.g. These different characteristics are likely to influence provider behaviour in different ways. Capitation payment encourages efficiency: drives down cost, serves as critical source of income for providers, promotes adherence to guidelines and policies, encourages providers to work better and give health education to patients. Analogously to Aas [2] 'reimbursement systems' for health care are defined as the way in which money is allocated to the provider of care 1 by health care payers (e.g. We analyse the way, how these systems can influence provider behaviour and, a fortiori, contribute to attain the general objectives of health care, i.e. Magazine: A typology for provider payment systems in health care. scientific article published on June 2002. edit. We use a systematic review combined with example integrated care programmes . By closing this window the user confirms that they have read the information on cookie usage, and they accept the privacy policy and the way cookies are used by the portal. The first dimension of the typology indicates whether there is a link between the provider's income and his activity. title = "A typology for provider payment systems in health care.". Health Policy, 60 (2002), pp. Article PubMed Google Scholar Anonymous (2003) Study on the social protection systems in the 13 applicant countries: country studies. 2019 May/Jun;25(3):253-261. doi: 10.1097/PHH.0000000000000806. Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software. ", Ellis, Randall P. & McGuire, Thomas G., 1986. ", Michael Geruso & Thomas G. McGuire, 2014. We analyse the way, how these systems can influence provider behaviour and, a fortiori, contribute to attain the general objectives of health care, i.e. A typology for provider payment systems in health care . doi: 10.1002/14651858.CD008451.pub2. These factors can mitigate or even reverse purely financial incentive mechanisms. The micro-level consists of the provider. > scientific article published on June 2002. Research output: Contribution to journal Article. General contact details of provider: http://www.elsevier.com/locate/healthpol . Journal Articles eCollection 2022 Oct-Dec. Pitter JG, Moizs M, Ezer S, Lukcs G, Szigeti A, Repa I, Csandi M, Rutten-van Mlken MPMH, Islam K, Kal Z, Vok Z. PLoS One. Hu H, Zhao L, Yong Y, Nicholas S, Maitland E, Zhao W, Yan H, Ma Y, Shi X. BMC Health Serv Res. 2023 Jan 31;20(3):2522. doi: 10.3390/ijerph20032522. Downloadable (with restrictions)! This article provides a framework to classify reimbursement systems according to the degree to which they might contribute to these objectives. scientific article published on June 2002. You can change the cookie settings in your browser. Cost Sharing and Cost Shifting Mechanisms under a per Diem Payment System in a County of China. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bethesda, MD 20894, Web Policies PMC More specifically, you will learn what this model looks like and how it can help to simultaneously achieve affordability and efficiency. It also allows you to accept potential citations to this item that we are uncertain about. Books and Chapters ", CRAINICH, David & LELEU, Herv & MAULEON, Ana, 2006. About EconPapers, Working Papers HHS Vulnerability Disclosure, Help Willem Gilles, Health Policy, 2002, vol. A typology to classify provider payment systems from an incentive point of view is developed. If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form . (Q40645483) From Wikidata. Because of this powerful link between the providers income and his activity, it is expected that caregivers have a strong incentive to increase production. Clipboard, Search History, and several other advanced features are temporarily unavailable. / Health Policy 60 (2002) 255273 framework for future research of health care payment systems. This sub-pool helps align incentives across the health care system to drive desired outcomes. Fixed and variable systems 2.1. 36 refs. Disclaimer. T1 - A typology for provider payment systems in health care. We use a systematic review combined with example integrated care programmes identified from practice in the Horizon2020 SELFIE project to inform a new typology of payment mechanisms for integrated care. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. A payment system is considered as variable when variation in activities induces changes in payment. Current payments for integrated care are mostly sector- and disease-specific, with questionable impact on those with the most need for integrated care. Mortality was lowest in Sweden and Norway. This typology is useful to classify and compare different types of payment systems as prevailing in different countries, and provides a useful framework for future research of health care payment systems. ABSTRACT 4 videos. Retrospective payment. quality of care, efficiency and accessibility. Decision-Making Dilemmas within Integrated Care Service Networks: A Systematic Literature Review. Jegers M, Kesteloot K, De Graeve D, Gilles W. Health Policy. The rationale is that reimbursement based on ex-ante costs prevents health care providers from giving unnecessary care, Do Not Sell or Share My Personal Information. Pressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. Finally, the potential interactions when several payment systems are used simultaneously are discussed. [Abstract], Powered by The Infona portal uses cookies, i.e. eCollection 2022 Jul-Sep. How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands? ", Randall P. Ellis & Thomas G. McGuire, 1993. Full text for ScienceDirect subscribers only. KW - Payment typology. A typology for provider payment systems in health care. The typology of HHR models is presented in Section 4. . References: View references in EconPapers View complete reference list from CitEc Citations: View citations in EconPapers (45) Track citations by RSS feed, Downloads: (external link)http://www.sciencedirect.com/science/article/pii/S0168-8510(01)00216-0 Exploring payment schemes used to promote integrated chronic care in Europe. scite is a Brooklyn-based startup that helps researchers better discover and understand research articles through Smart Citationscitations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. ", Makoto Kakinaka & Ryuta Ray Kato, 2011. Furthermore the frequently used criteria to determine the provider's income are discussed: per service, per diem, per case, per patient and per period. AU - Kesteloot, Katrien. Health Policy 60:255-273. @article{7393bef01c5c41708f7662ebdfc7b7ac. Unable to load your collection due to an error, Unable to load your delegates due to an error. We analyse the way, how these systems can influence provider behaviour and, a fortiori, contribute to attain the general objectives of health care, i.e. 60 Gilles, W, Kesteloot, K, De Graeve, D & Jegers, M 2000, A typology for provider payment systems in health care. A typology to classify provider payment systems from an incentive point of view is developed. BlogTerms and ConditionsAPI TermsPrivacy PolicyContactCookie PreferencesDo Not Sell or Share My Personal Information. Tsiachristas A, Dikkers C, Boland MR, Rutten-van Mlken MP. government site. sharing sensitive information, make sure youre on a federal Also a distinction is made between incentives at the level of the individual provider (micro-level) and the sponsor (macro-level). Results: Eleven articles were reviewed. Would you like email updates of new search results? government, insurers, patients). Physicians' views on optimal use and payment system for telemedicine: a qualitative study. View full text | Sign up to set email alerts | A typology for provider payment systems in health care. Introduction In order to attain the general objectives of health carequality, efficiency and accessibilitydifferent tools can be used: legislation, organisational models, financial incentives, etc. contribute. We analyse the way, how these systems can influence provider behaviour and, a fortiori, contribute to attain the general objectives of health care, i.e. This article provides a framework to classify reimbursement systems according to the degree to which they might contribute to these objectives. Install . Here is how to Dahlgren C, Spnberg E, Sverus S, Dackehag M, Wndell P, Rehnberg C. Eur J Health Econ. 0168-8510/02/$ - see front matter 2002 Elsevier Science Ireland Ltd. All rights reserved. The site is secure. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health. Behrends CN, Eggman AA, Gutkind S, Bresnahan MP, Fluegge K, Laraque F, Litwin AH, Meissner P, Shukla SJ, Perumalswami PV, Weiss J, Wyatt BE, Schackman BR. Public profiles for Economics researchers, Curated articles & papers on economics topics, Upload your paper to be listed on RePEc and IDEAS, Data, research, apps & more from the St. Louis Fed, Initiative for open bibliographies in Economics, Have your institution's/publisher's output listed on RePEc, http://www.sciencedirect.com/science/article/pii/S0168-8510(01)00216-0, A typology for provider payment systems in health care, Hospital budgeting in Holland: aspects, trends and effects, The threat of 'cream skimming' in the post-reform NHS, The Internal Organization of Hospitals: Some Economic Implications, Insurance principles and the design of prospective payment systems, The monopolistic integrated model and health care reform: the Swedish experience, Provider behavior under prospective reimbursement : Cost sharing and supply, The German health care system and health care reform, The hospital-physician interaction in U.S. hospitals: Evolving payment schemes and their incentives, Hospitals activity-based financing system and manager: physician interaction, Hospital's activity-based financing system and manager-physician interaction, Hospital's activity-based financing system and manager: physician interaction, Hospital's activity-based financing system and manager - physician interaction, Hospitals activity-based financing system and manager-physician interaction, Hospital's activity-based financing system and manager physician interaction, Prospective payment system : consequences for hospital-physician interactions in the private sector, Modeling Internal Decision Making Process: An Explanation Of Conflicting Empirical Results On Behavior Of NonProfit And ForProfit Hospitals, Modeling Internal Decision Making Process: An Explanation of Conflicting Empirical Results on Behavior of Nonprofit and For-Profit Hospitals, Payment systems in the healthcare industry: An experimental study of physician incentives, Journal of Economic Behavior & Organization, Payment Systems in the Healthcare Industry: An Experimental Study Of Physician Incentives, The impact of liability for malpractice on the optimal reimbursement schemes for health services, Econometric Society 2004 Far Eastern Meetings, Incentivizing cost-effective reductions in hospital readmission rates, Incentivizing Cost-Effective Reductions in Hospital Readmission Rates, Experimental Economics Center Working Paper Series, The optimality of hospital financing system: the role of physicianmanager interactions, International Journal of Health Economics and Management, The optimality of hospital financing system: the role of physician-manager interactions, The Optimality of hospital financing system: the role of physician-manager interactions, The optimality of hospital financing system/ the role of physician-manager iinteractions, Swiss DRGs: Patient Heterogeneity and Hospital Payments, Swiss Journal of Economics and Statistics (SJES), Swiss DRGs: Patient heterogeneity and hospital payment, Tradeoffs in the design of health plan payment systems: Fit, power and balance, Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance, Regulated medical fee schedule of the Japanese health care system, Regulated Medical Fee Schedule of the Japanese Health Care System, The Bonus Scheme, Motivation Crowding-out and Quality of the Doctor-Patient Encounters in Chinese Public Hospitals, Adverse Selection, Moral Hazard, and Outlier Payment Policy, Public Hospitals - Incentives and Organization, Reimbursement schemes for hospitals, malpractice liability, and intrinsic motivation, International Review of Law and Economics, Supply-Side and Demand-Side Cost Sharing in Health Care, Contracting-out health care services: a conceptual framework, Payment schemes and cost efficiency: evidence from Swiss public hospitals, Jegers, Marc & Kesteloot, Katrien & De Graeve, Diana & Gilles, Willem, 2002. A typology to classify provider payment systems from an incentive point of view is developed. Clipboard, Search History, and several other advanced features are temporarily unavailable. MeSH quality of care, efficiency and accessibility. Federal government websites often end in .gov or .mil. J Public Health Manag Pract. A typology for provider payment systems in health care. The probability of receiving PCI was highest in regions with their own PCI facilities and in healthcare systems with activity-based reimbursement systems. > https://www.wikidata.org/w/index.php?title=Q40645483&oldid=1504021116, Creative Commons Attribution-ShareAlike License.
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