Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?”
An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer heal...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2016-02-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/pdf_3117_082bf2d6be8c140f59808f48403de2c6.html |
| _version_ | 1818175114645078016 |
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| author | Misja Mikkers Padhraig Ryan |
| author_facet | Misja Mikkers Padhraig Ryan |
| author_sort | Misja Mikkers |
| collection | DOAJ |
| description | An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur more rapidly than in a single-payer system. This innovation in contract design could enhance performance. However, contractual innovation often fails to improve performance as payer incentives are misaligned with public policy objectives. Numerous countries seek to improve healthcare contracts, but thus far no health system has demonstrably crafted the necessary blend of incentives to stimulate optimal contracting. |
| first_indexed | 2024-12-11T19:55:09Z |
| format | Article |
| id | doaj.art-0f7a30fda15a44d8a3ccf7895e6d61f7 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-11T19:55:09Z |
| publishDate | 2016-02-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-0f7a30fda15a44d8a3ccf7895e6d61f72022-12-22T00:52:39ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392016-02-015212112310.15171/ijhpm.2015.189Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?”Misja Mikkers0Padhraig Ryan1NZa, Dutch Healthcare Authority, Utrecht, The Netherlands; Free University of Amsterdam, Amsterdam, The Netherlands; TILEC, Tilburg University, Tilburg, The NetherlandsCentre for Health Policy and Management, Trinity College Dublin, Dublin 2, IrelandAn important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur more rapidly than in a single-payer system. This innovation in contract design could enhance performance. However, contractual innovation often fails to improve performance as payer incentives are misaligned with public policy objectives. Numerous countries seek to improve healthcare contracts, but thus far no health system has demonstrably crafted the necessary blend of incentives to stimulate optimal contracting.http://www.ijhpm.com/pdf_3117_082bf2d6be8c140f59808f48403de2c6.htmlHealthcareCompetitionContractsInnovationPerformance |
| spellingShingle | Misja Mikkers Padhraig Ryan Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” International Journal of Health Policy and Management Healthcare Competition Contracts Innovation Performance |
| title | Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
| title_full | Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
| title_fullStr | Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
| title_full_unstemmed | Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
| title_short | Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
| title_sort | optimisation of healthcare contracts tensions between standardisation and innovation comment on competition in healthcare good bad or ugly |
| topic | Healthcare Competition Contracts Innovation Performance |
| url | http://www.ijhpm.com/pdf_3117_082bf2d6be8c140f59808f48403de2c6.html |
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