In 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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Arlene Ash & Randall P. Ellis & Gregory Pope & John Ayanian & David Bates & Helen Burstin & Lisa Iezzoni & Elizabeth McKay & Wei Yu, 2000.
"Using Diagnoses to Describe Populations and Predict Costs,"
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