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Main Title: How to strengthen financing mechanism to promote care for people with multimorbidity in Europe?
Translated Title: Wie können Finanzierungsmethoden die Versorgung von Menschen mit Multimorbidität in Europa verbessern?
Author(s): Struckmann, Verena
Quentin, Wilm
Busse, Reinhard
van Ginneken, Ewout
Institution: European Observatory on Health Systems and Policies, Berlin University of Technology
Type: Research Paper
Is Part Of: 10.14279/depositonce-8828
Language Code: en
Abstract: Payment mechanisms that take multiple chronic conditions into account and actually promote better integration of care are sadly lacking. This policy brief examines the steps policy makers must take if they are to adapt financing systems to support people with multimorbidity better. It looks at securing sustainable funding; options for upgrading payment mechanisms; and how financing mechanisms can stimulate good quality integrated care for people with multimorbidity. Key messages include that: * Payment mechanisms can provide key incentives for providers to collaborate, enable better care and create efficiency savings (while paying individual providers separately tends to block integration). * Innovative payment mechanisms (shared savings models, bundled payments, pay for performance) can be combined with more traditional models (budget, capitation, fee for service) but are inevitably complex. They need to adequately account for the complexity of cases treated which means drawing on very extensive data on cost and quality and considerable technical expertise. * Policy makers, who are working to make financing support integrated care, need to give a strong leadership signal and create supportive national and programme structures. They must: - Put in place information and support systems to deal with the complexity - Give proper thought to local conditions (and local capacity to cope) - Consider funding guarantees and other strategies for mainstreaming new approaches so that providers are encouraged to innovate, and - Take an incremental and long-term approach to change (including ongoing evaluation).
Issue Date: 22-Nov-2017
Date Available: 14-Aug-2019
DDC Class: 610 Medizin und Gesundheit
Subject(s): multimorbidity
innovative payment mechanism
financial incentives
policy maker
policy implications
Sponsor/Funder: EU, ICARE4EU, Innovating care for people with multiple chronic conditions in Europe
Series: European Observatory Policy Brief Series
Series Number: 24
ISSN: 1997-8073
Appears in Collections:FG Management im Gesundheitswesen » Publications

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