The Use of Payment by Results in Healthcare: A Review and Proposal

Alessandro Rizzello (), Rossana Caridà, Annarita Trotta (), Giuseppe Ferraro and Rosella Carè
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Alessandro Rizzello: University Magna Graecia of Catanzaro
Rossana Caridà: University Magna Graecia of Catanzaro
Annarita Trotta: University Magna Graecia of Catanzaro
Giuseppe Ferraro: University Magna Graecia of Catanzaro
Rosella Carè: University Magna Graecia of Catanzaro

Chapter 4 in Social Impact Investing Beyond the SIB, 2018, pp 69-113 from Palgrave Macmillan

Abstract: Abstract In recent decades, governments worldwide have begun to extend the use of Payment by Results (PbR) contracts. PbR contracts create a new type of partnership between investors, governments and service providers that engages them in a new way through complex outcome-based financial arrangements. In Italy, the diffusion of such instruments is limited by market and by legal barriers. Based on these considerations, our work aims to present an overview of the literature on PbR models, with Social Impact Bonds (SIBs) as the main subject, and to perform an explorative analysis of multiple case studies (focusing on innovative SIBs in healthcare) of such schemes. The study contributes to the international debate by offering several insights and implications for scholars, practitioners and policy makers. In addition, it aims to help clarify—from a law and economic perspective—the opportunities and obstacles related to the development of PbR instruments in the Italian context.

Keywords: Impact investing; Payment by results; Social impact bond; Healthcare (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:pal:psifcp:978-3-319-78322-2_4

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DOI: 10.1007/978-3-319-78322-2_4

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