Incentives and provider payment methods
Int. J. Hlth. Plann. Mgmt
; 10(1): 23-45, Jan.-Mar. 1995. ilus
Article
in English
| CidSaúde - Healthy cities
| ID: cid-57886
Responsible library:
BR67.1
Localization: BR67.1
ABSTRACT
The mode of payment creates powerful incentives affecting provider behavior and the efficiency, equity and quality outcomes of health finance reforms. This article examines provider incentives as well as administrative costs, and institutional conditions for successful implementation associated with provider payment alternatives. The alternatives considered are budget reforms, capitation, fee-for-service, and case-based reimbursement. We conclude that competition, whether through a regulated private sector or within a public system, has the potential to improve the performance of any payment method. All methods generate both adverse and beneficial incentives. Systems with mixed forms of provider payment can provide tradeoffs to offset the disadvantages of individual modes. Low-income countries should avoid complex payment systems requiring higher levels of institutional development.(AU)
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Collection:
Tematic databases
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Goal 11: Inequalities and inequities in health
/
Target 3.8 Achieve universal access to health
Database:
CidSaúde - Healthy cities
Main subject:
Health Care Reform
/
Fee-for-Service Plans
Type of study:
Practice guideline
Aspects:
Equity and inequality
Language:
English
Journal:
Int. J. Hlth. Plann. Mgmt
Year:
1995
Document type:
Article
Institution/Affiliation country:
World Bank/Estados Unidos
/
World Health Organisation/Suíça