Response: Activity-Based Payments and Reforms of the English Hospital Payment System
AbstractIn their debate article, Andrew Street and Alan Maynard highlight the problems with using average cost pricing for hospital payments in the English National Health Service, pointing out that lack of cost containment and failure to improve quality are potential weaknesses. In this invited comment we elaborate on a number of further concerns that deserve attention, centring on incentives across different settings, better payment for variations in patient severity, and promoting quality of care. We draw upon experience in the US, Australia and Spain for examples of alternative provider payment systems and their impact.
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Bibliographic InfoPaper provided by Boston University - Department of Economics in its series Boston University - Department of Economics - Working Papers Series with number WP2007-035.
Date of creation: Jul 2007
Date of revision:
This paper has been announced in the following NEP Reports:
- NEP-ALL-2007-08-14 (All new papers)
- NEP-BEC-2007-08-14 (Business Economics)
- NEP-HEA-2007-08-14 (Health Economics)
- NEP-IAS-2007-08-14 (Insurance Economics)
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