Pricing health services for purchasers - A review of methods and experiences

Health Policy

Volumn 70, Issue 2, 2004, Pages 175-184

  Waters, Hugh R ^a   Hussey, Peter ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Costing; Health services; Pricing; Provider payment; Purchasing

Indexed keywords

AUSTRALIA; CAPITATION FEE; DENMARK; GERMANY; HEALTH CARE COST; HEALTH SERVICE; HUMAN; HUNGARY; KOREA; METHODOLOGY; PROSPECTIVE PAYMENT; PROSPECTIVE PRICING; PURCHASING; REVIEW; SOCIOECONOMICS; TAIWAN; THAILAND; UNITED KINGDOM; UNITED STATES;

EID: 4444242628     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2004.04.012     Document Type: Article

References (28)

1. Jegers M., Kesteloot K., De Graeve D., Gilles W. A typology for provider payment systems in health care. Health Policy. 60(3):2002;255-273
2. Kutzin J. A descriptive framework for country-level analysis of health care financing arrangements. Health Policy. 56(3):2001;171-204
3. Preker AS, Feachem RGA. Market mechanisms and the health sector in central and eastern europe. World Bank technical paper 293. Washington, DC: World Bank; 1996.
4. Langenbrunner JC, Wiley MM. Hospital payment mechanisms: theory and practice in transition countries. In: McKee M, Healy J, editors. Hospitals in a changing Europe. Buckingham, UK: Open University Press; 2002 [chapter 8].
5. Barnum H, Kutzin J. Public hospitals in developing countries: resource use, cost, financing. Baltimore: Johns Hopkins University Press; 1993.
6. Bitran R, Yip WC. A review of health care provider payment reform in selected countries in Asia and Latin America. Major applied research 2, working paper 1, partnerships for health reform project. Bethesda: Abt Associates Inc.; 1998.
7. Wouters A. Alternative provider payment methods: incentives for improving health care delivery. Primer for policymakers series 1, partnerships for health reform. Bethesda: Abt Associates Inc.; 1999.
8. Kamke K. The German health care system and health care reform. Health Policy. 43:1998;171-194
9. Sauerland D. The German strategy for quality improvement in health care: still to improve. Health Policy. 56:2001;127-147
10. Newhouse J.P. Patients at risk: health reform and risk adjustment. Health Affairs. 13(1):1994;132-146
11. Newhouse J.P. Reimbursing health plans and health providers: efficiency in production versus selection. Journal of Economic Literature. 34:1996;1236-1263
12. Davis K. The Danish health system through an American lens. Health Policy. 59:2002;119-132
13. Duckett S.J. Casemix funding for acute hospital inpatient services in Australia. Medical Journal of Australia. 169:1998;S17-S21
14. Kroneman M., Nagy J. Introducing DRG-based financing in Hungary: a study into the relationship between supply of hospital beds and use of these beds under changing institutional circumstances. Health Policy. 55:2001;19-36
15. Player S. Activity-based analyses lead to better decision making. Healthcare Financial Management. 52(8):1998;66-70
16. Chan Y.C. Improving hospital cost accounting with activity-based costing. Health Care Management Review. 18(1):1993;71-77
17. Cokin G., 1996. Activity-based cost management: making it work. New York, NY: McGraw-Hill.
18. Hsiao W.C., Braun P., Dunn D.L., Becker E.R., Yntema D., Verrilli D.K., Stamenovic E., Chen S.P. An overview of the development and refinement of the resource-based relative value scale. The foundation for reform of US physician payment. Medical Care. 30(Suppl. 11):1992;NS1-NS12
19. Busse R. Priority-setting and rationing in German health care. Health Policy. 50(1-2):1999;71-90
20. Rodwin VG, Grable H, Thiel G. Updating the fee schedule for physician reimbursement: a comparative analysis of France, Germany, Canada, and the United States. In: Updating the fee schedule for physician reimbursement: comparative analysis of selected experience abroad and of policy options for the United States. Washington, DC: PPRC; 1989.
21. Mills A., Bennett S., Siriwanarangsun P., Tangcharoensathien V. The response of providers to capitation payment: a case-study from Thailand. Health Policy. 51:2000;163-180
22. Charoenparij S, Chunharas S, Donaldson D, Kraushaar D, Pannorunothai S, Pinjaroen S, Srivanichakorn S, Suriyawongpaisal P, Tangcharoensathien V, Valyasevi A. Health financing in Thailand: final integrated report. Thailand health management and financing study project final report; 1999.
23. Jackson T. Using computerised patient-level costing data for setting DRG weights: the Victorian (Australia) cost weight studies. Health Policy. 56:2001;149-163
24. Orosz E., Holló I. Hospitals in Hungary: the story of stalled reforms. Eurohealth. 7(3):2001;22-25
25. Orosz E, Burns A, 2000. The healthcare system in Hungary, OECD health economics working papers no. 241. Paris: OECD; 2000.
26. Keeler E.B., Melnick G., Zwanziger J. The changing effects of competition on non-profit and for-profit hospital pricing behavior. Journal of Health Economics. 18:1999;69-86
27. Waters H., Abdallah H., Santillán D. Application of activity-based costing (ABC) for a Peruvian NGO healthcare provider. International Journal of Health Planning and Management. 16(1):2001;3-18
28. World Health Organization [WHO]. World health report 2000 - health systems: improving performance. Geneva: WHO; 2000.