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Response: Activity-Based Payments and Reforms of the English Hospital Payment System

Author

Listed:
  • Randall P. Ellis

    () (Department of Economics, Boston University)

  • Marian Vidal-Fernadez

    () (Department of Economics, Boston University)

Abstract

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.

Suggested Citation

  • Randall P. Ellis & Marian Vidal-Fernadez, 2007. "Response: Activity-Based Payments and Reforms of the English Hospital Payment System," Boston University - Department of Economics - Working Papers Series WP2007-035, Boston University - Department of Economics.
  • Handle: RePEc:bos:wpaper:wp2007-035
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    References listed on IDEAS

    as
    1. Ellis, Randall P. & McGuire, Thomas G., 2007. "Predictability and predictiveness in health care spending," Journal of Health Economics, Elsevier, vol. 26(1), pages 25-48, January.
    2. Kate Bundorf, M., 2002. "Employee demand for health insurance and employer health plan choices," Journal of Health Economics, Elsevier, vol. 21(1), pages 65-88, January.
    3. 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," Papers 0099, Boston University - Industry Studies Programme.
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    Cited by:

    1. Street, Andrew & Sivey, Peter & Mason, Anne & Miraldo, Marisa & Siciliani, Luigi, 2010. "Are English treatment centres treating less complex patients?," Health Policy, Elsevier, vol. 94(2), pages 150-157, February.
    2. Carine Milcent, 2016. "Upcoding and heterogeneity in hospitals’ response: A Natural Experiment," Working Papers halshs-01340557, HAL.

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