Health

Better Ways to Pay for Health Care

In series:OECD Health Policy Studiesview more titles

Published on June 29, 2016

book

Payers for health care are pursuing a variety of policies as part of broader efforts to improve the quality and efficiency of care.  Payment reform is but one policy tool to improve health system performance that requires supportive measures in place such as policies with well-developed stakeholder involvement, information on quality, clear criteria for tariff setting, and embedding evaluation as part of the policy process. Countries should not, however, underestimate the significant data challenges when looking at price setting processes. Data access and ways to overcome its fragmentation require well-developed infrastructures. Policy efforts highlight a trend towards aligning payer and provider incentives by using evidence-based clinical guidelines and outcomes to inform price setting. There are signs of increasing policy focus on outcomes to inform price setting. These efforts could bring about system-wide effects of using evidence along with a patient-centred focus to improve health care delivery and performance in the long-run.

TABLE OF CONTENTS

Foreword and acknowledgements
Executive summary
Assessment and recommendations
Reforming traditional health care provider payments
Add-on health care provider payments
Bundled health care provider payments
Population-based health care provider payments
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