국가전략정보포털

Acronyms and abbreviations 7
Executive summary 9
Assessment and recommendations 11

Chapter 1. Reforming traditional health care provider payments 37
1.1 Overview 38
1.2. Why reform provider payment? 38
1.3. Traditional provider payment systems and misaligned incentives 40
1.4. The use of blended payment methods across health care settings and recent trends 46
1.5. Adapting traditional modes of payment to make them more fit for use in contemporary health systems 52
1.6. Innovations in health care provider payments 52 1.7. Conclusion 53
Note 54
References 55

Chapter 2. Add - on health care provider payments 59
2.1. Overview 60
2.2. Using add - on payments to encourage co - ordination 63
2.3. Add - on payments to reward quality and outcomes 67
2.4. Assessment of policy impact of add - on payments 77
2.5. Conditions for the implementation of P4P add - ons across health systems and care settings 82
2.6. Conclusion 93
Notes 95
References 96

Chapter 3. Bundled health care provider payments 101
3.1. Overview 102
3.2. Episode - based payments incentivising best practice or improvement of patient outcomes 102
3.3. Payments are used to improve the quality of care for chronic conditions 108
3.4. Key characteristics of payment reforms towards bundled payments. 112
3.5. Assessment of payment reforms 114
3.6. Conditions for implementation for payment reform 119
3.7. Building blocks for designing bundled payment 126
3.8. Conclusion 127
Note 130
References 131

Chapter 4. Population - based health care provider payments 135
4.1. Overview 136
4.2. Population - based payment innovations are currently implemented in a variety of countries 137
4.3.Asses sment of payment reforms 144
4.4. Conditions for implementing payment reform 147
4.5. Population - based payment and ACO models differ in important technical aspects 150
4.6. Conclusion 158
Notes 161
References 162