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activity-based funding or having money follow the patient. Under activity-based funding, hospitals are paid a pre-defined amount of money for each patient they care for, based on the patient’s particular condition and important factors that may add complexity or expected cost to their care. Funding through global budgets is not without its ...
Jan 21, 2021 · Patients now can receive home-based acute care, 32 primary care, 33 and behavioral health services 34 of equal or better quality compared with facility-based delivery, and at a lower cost. Despite ...
- William H Shrank, Nancy-Ann DeParle, Scott Gottlieb, Sachin H Jain, Peter Orszag, Brian W Powers, Ga...
- 2021
To date, studies of PCMH performance have tracked patient outcomes and total medical spending, with generally positive quality but mixed cost results. 9–19 An unaddressed question, however, is how current PCMH funding models affect the financial sustainability of primary care practices and particularly whether current PCMH payment initiatives provide sufficient incentives for meaningful ...
Compared to FFS, the fact that total health care costs were lower in blended capitation model patients may appear surprising: the theoretical literature suggests that a capitation payment to primary care physicians provides an incentive for an under-provision of care and a shift towards other levels of care that are more expensive, such as specialists’ care or hospital care . In fact, Allard ...
Jun 27, 2022 · A range of funding reforms may be considered “patient-based”, including activity-based funding (ABF) and pay-for-performance (P4P), which are among the reforms considered in our research. On one hand, global budgets were viewed by some bureaucrats as lacking transparency, and lacking incentives to address efficiency, productivity and quality [ 6 , 7 ].
- Maude Laberge
iv Executive Summary. Internationally and across Canada, governments have explored varied approaches to reforming the governance and financing of primary care with the aim of improving access, efficiency, effectiveness, and patient experiences in the health system. This rapid review presents an overview of primary care models and reforms in 11 ...
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Oct 8, 2019 · Primary care, defined as core functions that patients receive from their usual source of care, is an essential component of health care and is associated with better-quality care, patient experience, and outcomes including lower mortality. 1 Observational studies have also linked primary care to lower levels of spending. 2 However, from a policy perspective, a key question is whether ...
