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- W4239065009 abstract "This chapter discusses the three most widely used payment systems for hospitals. While concepts differ, payment models in secondary care have parallels to those used in primary care. In <italic>retrospective</italic> systems, providers’ costs are fully reimbursed <italic>after they have incurred</italic> which leads to cost escalations and inefficiencies. In <italic>prospective</italic> systems, payments are determined <italic>ex ante</italic> without any link to the real costs incurred by the provider. Prospective payment systems are of two kinds: variable or fixed. The former are often referred to as activity-based financing, while fixed payments refer to block grants or global budgets. The three models are compared emphasizing their pros and cons. In practical policy, prospective activity-based funding has increased in popularity, but many countries opt for a blended model involving a fixed budget together with activity-based incentives. The chapter ends with a brief discussion of various pay-for-performance schemes." @default.
- W4239065009 created "2022-05-12" @default.
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- W4239065009 date "2017-09-21" @default.
- W4239065009 modified "2023-10-14" @default.
- W4239065009 title "Secondary care: hospital financing" @default.
- W4239065009 doi "https://doi.org/10.1093/oso/9780198794837.003.0015" @default.
- W4239065009 hasPublicationYear "2017" @default.
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