Evolution of healthcare provider payment mechanisms
Methods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2020-02-01
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| Series: | Фармакоэкономика |
| Subjects: | |
| Online Access: | https://www.pharmacoeconomics.ru/jour/article/view/322 |
| _version_ | 1797878901023703040 |
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| author | V. V. Omelyanovskiy N. N. Sisigina V. K. Fedyaeva N. Z. Musina |
| author_facet | V. V. Omelyanovskiy N. N. Sisigina V. K. Fedyaeva N. Z. Musina |
| author_sort | V. V. Omelyanovskiy |
| collection | DOAJ |
| description | Methods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best match the societal demands (greater access to health services, cost reduction, and better quality) and prevent “moral hazards”. As a result, the most advanced healthcare systems have stopped paying simply for service volume and rigorously restraining the costs. Instead, the updated system is based on the integrated payments combining the elements of cost control with the stimuli that promote a high quality and better access to healthcare service. At present, the new payment mechanisms aiming at improving the long-term treatment outcomes (life expectancy and quality of life) are available. The care provider payment system existing in Russia, by large, corresponds to the best international practices as far as the hospital care is concerned. However, the payment arrangements in the primary care network still lag behind the international standards. To improve the situation, quality indicators should be included in payments for primary care services. |
| first_indexed | 2024-04-10T02:40:26Z |
| format | Article |
| id | doaj.art-c70d0a253dc245cba61fa6fb618a2b0d |
| institution | Directory Open Access Journal |
| issn | 2070-4909 2070-4933 |
| language | Russian |
| last_indexed | 2024-04-10T02:40:26Z |
| publishDate | 2020-02-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Фармакоэкономика |
| spelling | doaj.art-c70d0a253dc245cba61fa6fb618a2b0d2023-03-13T07:48:16ZrusIRBIS LLCФармакоэкономика2070-49092070-49332020-02-0112431832610.17749/2070-4909.2019.12.4.318-326284Evolution of healthcare provider payment mechanismsV. V. Omelyanovskiy0N. N. Sisigina1V. K. Fedyaeva2N. Z. Musina3Financial Research Institute of the Ministry of Finance of the Russian Federation; Russian Presidential Academy of National Economy and Public AdministrationFinancial Research Institute of the Ministry of Finance of the Russian Federation; Russian Presidential Academy of National Economy and Public AdministrationFinancial Research Institute of the Ministry of Finance of the Russian Federation; Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian FederationCenter for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Sechenov UniversityMethods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best match the societal demands (greater access to health services, cost reduction, and better quality) and prevent “moral hazards”. As a result, the most advanced healthcare systems have stopped paying simply for service volume and rigorously restraining the costs. Instead, the updated system is based on the integrated payments combining the elements of cost control with the stimuli that promote a high quality and better access to healthcare service. At present, the new payment mechanisms aiming at improving the long-term treatment outcomes (life expectancy and quality of life) are available. The care provider payment system existing in Russia, by large, corresponds to the best international practices as far as the hospital care is concerned. However, the payment arrangements in the primary care network still lag behind the international standards. To improve the situation, quality indicators should be included in payments for primary care services.https://www.pharmacoeconomics.ru/jour/article/view/322per capita ratecase-based paymentfee-for-servicepay for performancepay-for-results |
| spellingShingle | V. V. Omelyanovskiy N. N. Sisigina V. K. Fedyaeva N. Z. Musina Evolution of healthcare provider payment mechanisms Фармакоэкономика per capita rate case-based payment fee-for-service pay for performance pay-for-results |
| title | Evolution of healthcare provider payment mechanisms |
| title_full | Evolution of healthcare provider payment mechanisms |
| title_fullStr | Evolution of healthcare provider payment mechanisms |
| title_full_unstemmed | Evolution of healthcare provider payment mechanisms |
| title_short | Evolution of healthcare provider payment mechanisms |
| title_sort | evolution of healthcare provider payment mechanisms |
| topic | per capita rate case-based payment fee-for-service pay for performance pay-for-results |
| url | https://www.pharmacoeconomics.ru/jour/article/view/322 |
| work_keys_str_mv | AT vvomelyanovskiy evolutionofhealthcareproviderpaymentmechanisms AT nnsisigina evolutionofhealthcareproviderpaymentmechanisms AT vkfedyaeva evolutionofhealthcareproviderpaymentmechanisms AT nzmusina evolutionofhealthcareproviderpaymentmechanisms |