Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T04:54:22.509Z Has data issue: false hasContentIssue false

Activity-based payments and reforms of the English hospital payment system

Published online by Cambridge University Press:  01 October 2007

RANDALL P. ELLIS*
Affiliation:
Economics Department, Boston University, USA
MARIAN VIDAL-FERNÁNDEZ
Affiliation:
Economics Department, Boston University, USA
*
*Correspondence to: Professor Randall Ellis, Economics Department, Boston University, 270 Bay State Road, Boston, MA 02215, USA. Email: [email protected]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Response
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Antioch, K. M. and Walsh, M.K. (2002), ‘Risk –adjusted capitation funding models for chronic disease in Australia: alternatives to casemix funding’, European Journal of Health Economics, 3: 8393.CrossRefGoogle ScholarPubMed
Antioch, K.M., Ellis, R.P., Gillett, S., Borovnicar, D., and Marshall, R. (2007), ‘Risk adjustment policy options for casemix funding: international lessons in financing reform’, European Journal of Health Economics, 8(3): 195212.CrossRefGoogle ScholarPubMed
American Academy of Otolaryngology – Head and Neck Surgery (2007), ‘Medicare Reimbursement: Changes in 2007: The Impact on Otolaryngology’, AAO-HNS Bulletin, Politics and Policy.Google Scholar
Audit Commission (2004), ‘Introducing payment by results’, Health National Report, Audit Commission, London.Google Scholar
Audit Commission (2005), ‘Early lessons from payment by results’, Health National Report, Audit Commission, London.Google Scholar
Audit Commission (2007), ‘Payment by results briefing: options for the future of payment by results’, 2008/09–2010/11, Health National Report, Audit Commission, London.Google Scholar
Centers for Medicare and Medicaid Services (CMS) (2006), ‘Medicare program: hospital outpatient prospective payment system and CY 2007 payment rates – final rules’, CMS-1506-P; CMS-4125-P, US Department of Health and Human Services.Google Scholar
Centers for Medicare and Medicaid Services (CMS) (2007a), ‘A revised payment system for services provided in ambulatory surgical centers’, CMS 1517-F, US Department of Health and Human Services.Google Scholar
Centers for Medicare and Medicaid Services (CMS) (2007b), ‘Changes to the hospital inpatient prospective payment systems and fiscal year 2008 rates’, CMS-1533-FC, US Department of Health and Human Services.Google Scholar
CatSalut. Servei Català de la Salut (2002), ‘Memòria d’activitat 2001: La xarxa sanitaria d’utilització Pública’, Departament de Sanitat i Seguretat Social, Barcelona.Google Scholar
CatSalut. Servei Català de la Salut (2007), ‘Memòria d’activitat 2006. La xarxa sanitaria d’utilització Pública’, Departament de Salut Barcelona.Google Scholar
Canadian Institute for Health Information (2005), ‘Provincial and territorial government health expenditure by age group, sex and major category: recent and future growth rates’, National Health Expenditure Database, CIHF, Ottawa.Google Scholar
Cots i Reguant, F. (2004), ‘La sosteniblidad del sistema hopitalario en Cataluña: El balance de una década’, Gaceta Sanitaria, 18(1): 6467.Google Scholar
Cutler, D. M. and Reber, S. (1998), ‘The tradeoff between competition and adverse selection’, Quarterly Journal of Economics, 113: 433466.CrossRefGoogle Scholar
Department of Health (2006), ‘Implementing payment by results: technical guidance – executive Summary’, London.Google Scholar
Doran, T.M., Fullwood, C., Gravelle, H., Reeves, D., Kontopantells, E., Hiroeh, U., and Roland, M. (2006), ‘Pay-for-performance programs in family practices in the United Kingdom’, The New England Journal of Medicine, 355: 375384.CrossRefGoogle ScholarPubMed
Duckett, S.J. and Agius, P.A. (2002), ‘Performance of diagnosis-based risk adjustment measures in a population of sick Australians’, Australian and New Zealand Journal of Public Health, 26(6): 501507.CrossRefGoogle Scholar
Ellis, R. and McGuire, T. (1986), ‘Provider payment under prospective payment’, Journal of Health Economics, 5: 129151.CrossRefGoogle Scholar
Frank, R.G., Glazer, J., and McGuire, T. (2000), ‘Measuring adverse selection in managed health care’, Journal of Health Economics, 19: 829854.CrossRefGoogle ScholarPubMed
HOPE (2006), ‘DRGs as a financing tool’, European Hospital and Healthcare Federation, www.hope.be/05eventsandpublications/docpublications/77_drg_report/77_drg_report_2006.pdfGoogle Scholar
Laffont, J.J and Tirole, J. (1993), A Theory of Incentives in Procurement and Regulation, Cambridge, MA: The MIT Press Cambridge.Google Scholar
López, G. (1998), ‘Cost containment in health care: the case of Spain from the eighties up to 1997’, Economics Working Paper 278, Centre de Recerca en Economia i Salut at Universitat Pompeu Fabra, Barcelona.Google Scholar
Ma, Ching-to A. (1994), ‘Health care payment systems: cost and quality incentives’, Journal of Economics and Management Strategy, 8: 93112.Google Scholar
MEDPAC (2006), ‘Payment basics: ambulatory surgical centers payment system’, September, at www.medpac.gov/publications/other_reports/Sept06_MedPAC_Payment_Basics_ASC.pdfGoogle Scholar
Mossialos, E. (1998), ‘Citizens’ views on health care systems in the 15 member states of the European Union’, Health Economics, 6(2): 109116.3.0.CO;2-L>CrossRefGoogle Scholar
Nichol, B., Mould, M., and Wall, C. (2003), ‘Trends in hospital activity: Australia 1991–92 to 2000–01’, Commonwealth Department of Health and Ageing Occasional Papers, New Series 15, July, at www.health.gov.au/internet/wcms/Publishing.nsf/Content/2EEE3CD53CD4D6D1CA256F1800575AD2/$File/ocpanew15a.pdfGoogle Scholar
Sánchez-Mártinez, F., Abellán-Perpiñán, J.M., Martínez-Pérez, J.E., and Puig-Junoy, J. (2006), ‘Cost accounting and public reimbursement schemes in Spanish hospitals’, Health Care Management Science, 9: 225232.CrossRefGoogle ScholarPubMed
Siciliani, L. (2006), ‘Selection of treatment under prospective payment systems in the hospital sector’, Journal of Health Economics, 25(3): 479499.CrossRefGoogle ScholarPubMed
Street, A. and Maynard, A. (2007), ‘Activity based financing in England: the need for continual refinement of payment by results’, Health Economics, Policy and Law (this issue).CrossRefGoogle ScholarPubMed
US Federal Register (2006), 71, no. 226 (November 24): 67959–68401.Google Scholar
US General Accounting Office (1990), ‘Medicare: alternatives for computing payments for hospital outpatient surgery’, GAO/HRD-90-78.Google Scholar
US Government Accountability Office (2006), ‘MEDICARE payment for ambulatory surgical centers should be based on the hospital outpatient payment system’, GAO-07-86.Google Scholar