Towards incentivising integration: A typology of payments for integrated care

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dc.contributor.authorStokes, Jonathan
dc.contributor.authorStruckmann, Verena
dc.contributor.authorKristensen, Søren Rud
dc.contributor.authorFuchs, Sabine
dc.contributor.authorvan Ginneken, Ewout
dc.contributor.authorTsiachristas, Apostoles
dc.contributor.authorRutten-van Mölken, Maureen
dc.contributor.authorSutton, Matt
dc.date.accessioned2019-08-14T14:01:11Z
dc.date.available2019-08-14T14:01:11Z
dc.date.issued2018-07-11
dc.description.abstractTraditional 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.en
dc.description.sponsorshipEC/H2020/634288/EU/Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE/SELFIEen
dc.identifier.pmid30033204
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/9798
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-8826
dc.language.isoenen
dc.relation.ispartof10.14279/depositonce-8828
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otherintegrated careen
dc.subject.otherprovider paymentsen
dc.subject.otherpayment typologyen
dc.subject.otherhealth systems reformen
dc.titleTowards incentivising integration: A typology of payments for integrated careen
dc.title.translatedAnreize zur Integration: Eine Typologie von Vergütungsmethoden für die integrierte Versorgung.en
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.doi10.1016/j.healthpol.2018.07.003
dcterms.bibliographicCitation.issue9en
dcterms.bibliographicCitation.journaltitleHealth Policyen
dcterms.bibliographicCitation.originalpublishernameElsevieren
dcterms.bibliographicCitation.originalpublisherplaceAmsterdam [u.a.]en
dcterms.bibliographicCitation.pageend969en
dcterms.bibliographicCitation.pagestart963en
dcterms.bibliographicCitation.volume122en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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