Response: Activity-Based Payments and Reforms of the English Hospital Payment System

Randall Ellis and Marian Vidal-Fernadez ()
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Marian Vidal-Fernadez: Department of Economics, Boston University
Authors registered in the RePEc Author Service: Marian Vidal-Fernandez ()

No WP2007-035, Boston University - Department of Economics - Working Papers Series from Boston University - Department of Economics

Abstract: In their debate article, Andrew Street and Alan Maynard highlight the problems with using average cost pricing for hospital payments in the English National Health Service, pointing out that lack of cost containment and failure to improve quality are potential weaknesses. In this invited comment we elaborate on a number of further concerns that deserve attention, centring on incentives across different settings, better payment for variations in patient severity, and promoting quality of care. We draw upon experience in the US, Australia and Spain for examples of alternative provider payment systems and their impact.

Pages: 15pages
Date: 2007-07
New Economics Papers: this item is included in nep-bec, nep-hea and nep-ias
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Citations: View citations in EconPapers (2)

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