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Main Title: Towards incentivising integration: A typology of payments for integrated care
Translated Title: Anreize zur Integration: Eine Typologie von Vergütungsmethoden für die integrierte Versorgung.
Author(s): Stokes, Jonathan
Struckmann, Verena
Kristensen, Søren Rud
Fuchs, Sabine
van Ginneken, Ewout
Tsiachristas, Apostoles
Rutten-van Mölken, Maureen
Sutton, Matt
Type: Article
Is Part Of: 10.14279/depositonce-8828
Language Code: en
Abstract: Traditional provider payment mechanisms may not create appropriate incentives for integrating care. Alternative payment mechanisms, such as bundled payments, have been introduced without uniform definitions, and existing payment typologies are not suitable for describing them. 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 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). There is a gap between rhetoric on the need for new payment mechanisms and those implemented in practice. Current payments for integrated care are mostly sector- and disease-specific, with questionable impact on those with the most need for integrated care. The typology provides a basis to improve financial incentives supporting more effective and efficient integrated care systems.
Issue Date: 11-Jul-2018
Date Available: 14-Aug-2019
DDC Class: 610 Medizin und Gesundheit
Subject(s): integrated care
provider payments
payment typology
health systems reform
Sponsor/Funder: EC/H2020/634288/EU/Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE/SELFIE
Journal Title: Health Policy
Publisher: Elsevier
Publisher Place: Amsterdam [u.a.]
Volume: 122
Issue: 9
Publisher DOI: 10.1016/j.healthpol.2018.07.003
Page Start: 963
Page End: 969
Appears in Collections:FG Management im Gesundheitswesen » Publications

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