Skip to main content
×
Home
    • Aa
    • Aa

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

  • RANDALL P. ELLIS (a1) and MARIAN VIDAL-FERNÁNDEZ (a1)
Copyright
Corresponding author
*Correspondence to: Professor Randall Ellis, Economics Department, Boston University, 270 Bay State Road, Boston, MA 02215, USA. Email: ellisrp@bu.edu
References
Hide All
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.
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.
American Academy of Otolaryngology – Head and Neck Surgery (2007), ‘Medicare Reimbursement: Changes in 2007: The Impact on Otolaryngology’, AAO-HNS Bulletin, Politics and Policy.
Audit Commission (2004), ‘Introducing payment by results’, Health National Report, Audit Commission, London.
Audit Commission (2005), ‘Early lessons from payment by results’, Health National Report, Audit Commission, London.
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.
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.
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.
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.
CatSalut. Servei Català de la Salut (2002), ‘Memòria d’activitat 2001: La xarxa sanitaria d’utilització Pública’, Departament de Sanitat i Seguretat Social, Barcelona.
CatSalut. Servei Català de la Salut (2007), ‘Memòria d’activitat 2006. La xarxa sanitaria d’utilització Pública’, Departament de Salut Barcelona.
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.
Cots i Reguant F. (2004), ‘La sosteniblidad del sistema hopitalario en Cataluña: El balance de una década’, Gaceta Sanitaria, 18(1): 6467.
Cutler D. M. and Reber S. (1998), ‘The tradeoff between competition and adverse selection’, Quarterly Journal of Economics, 113: 433466.
Department of Health (2006), ‘Implementing payment by results: technical guidance – executive Summary’, London.
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.
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.
Ellis R. and McGuire T. (1986), ‘Provider payment under prospective payment’, Journal of Health Economics, 5: 129151.
Frank R.G., Glazer J., and McGuire T. (2000), ‘Measuring adverse selection in managed health care’, Journal of Health Economics, 19: 829854.
HOPE (2006), ‘DRGs as a financing tool’, European Hospital and Healthcare Federation, www.hope.be/05eventsandpublications/docpublications/77_drg_report/77_drg_report_2006.pdf
Laffont J.J and Tirole J. (1993), A Theory of Incentives in Procurement and Regulation, Cambridge, MA: The MIT Press Cambridge.
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.
Ma Ching-to A. (1994), ‘Health care payment systems: cost and quality incentives’, Journal of Economics and Management Strategy, 8: 93112.
MEDPAC (2006), ‘Payment basics: ambulatory surgical centers payment system’, September, at www.medpac.gov/publications/other_reports/Sept06_MedPAC_Payment_Basics_ASC.pdf
Mossialos E. (1998), ‘Citizens’ views on health care systems in the 15 member states of the European Union’, Health Economics, 6(2): 109116.
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.pdf
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.
Siciliani L. (2006), ‘Selection of treatment under prospective payment systems in the hospital sector’, Journal of Health Economics, 25(3): 479499.
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).
US Federal Register (2006), 71, no. 226 (November 24): 67959–68401.
US General Accounting Office (1990), ‘Medicare: alternatives for computing payments for hospital outpatient surgery’, GAO/HRD-90-78.
US Government Accountability Office (2006), ‘MEDICARE payment for ambulatory surgical centers should be based on the hospital outpatient payment system’, GAO-07-86.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Health Economics, Policy and Law
  • ISSN: 1744-1331
  • EISSN: 1744-134X
  • URL: /core/journals/health-economics-policy-and-law
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 4
Total number of PDF views: 23 *
Loading metrics...

Abstract views

Total abstract views: 98 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 22nd October 2017. This data will be updated every 24 hours.