AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
But in contrast to other countries, in the Netherlands not all insurers introduced GBs, which resulted in two different payment methods used in parallel: a production-based funding with a cap on expenditure and guaranteed GB funding.ĭue to the small size of the country, large Dutch health insurers generally have contracts with all major hospitals and hospitals treat patients from several insurers. This arrangement is closest to that used in Maryland: budgets are allocated to hospitals and are enforced using ex post price adjustments. Global budgeting was initiated in the Netherlands in 2012, when certain large health insurers introduced hospital GBs as their primary payment method of hospital care. “… providing fixed, predictable revenue allows hospitals to focus on value rather than volume and rewards them for investing in population health improvement” Therefore, our results capture only short-term effects. Our study covers the years of 2010–2013 (2 years before and 2 years following the introduction of the new contracts). While the former finding is in line with our expectation, the latter is not and suggests that hospital visits may take longer to respond to contract incentives. Our findings show that having higher share of GB financing was associated with lower growth in treatment intensity, but it was also associated with higher growth in the probability of having at least one hospital visit. We used the share of GB hospital funding per postal code region to study the effect of contract types. We evaluated the introduction of GB contracts by certain large insurers in Dutch hospital care in 2012 and compared health care utilization to those insurers who continued with more traditional production-based contracts, i.e., cost ceiling (CC) contracts. By guaranteeing hospital funding, payers hope to eliminate the drive for increased production, and incentivize providers to deliver more efficient care and lower utilization. Global budget (GB) arrangements have become a popular method worldwide to control the rise in healthcare expenditures.
0 Comments
Read More
Leave a Reply. |