HOME >> MEDICINE >> NEWS
New NHS payment system 'is no panacea'

The new NHS payment system has already run into problems and requires careful monitoring, say researchers at Dr Foster in this week's BMJ.

In April 2004 the NHS introduced its new "payment by results" system starting with foundation hospitals, whereby providers are paid for each individual case rather than through block contracts.

This new system uses healthcare resource groups (HRGs) as a measure of care based on diagnosis and complexity of treatment, but it has already run into problems. The planned roll-out across all NHS trusts for April 2005 has been restricted, while there is also concern that "gaming" may result, whereby providers reclassify patients into more complex and therefore more expensive HRGs to gain extra revenue.

The research team examined hospital episode statistics to determine whether foundation hospitals showed a change in numbers of emergency admissions and coding patterns compared with those providers still under the old block contracts.

Foundation trusts showed a greater increase in short stay inpatient admissions through accident and emergency departments (24%) than non-foundation trusts (17%). However, average episode costs and HRG codes did not change significantly.

Several countries have introduced case mix prospective payment systems, with varying results, say the authors. However, the payment by results system is no panacea.

This analysis suggests a disproportionate increase of short stay admissions through accident and emergency within foundation trusts. Thus far the English data show no consistent evidence of "HRG drift" but further analysis is needed as more data become available, they conclude.


'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-207-383-6529
BMJ-British Medical Journal
10-Mar-2005


Page: 1

Related medicine news :

1. Direct payments to households in poor countries could improve maternal & child health
2. Some hospitals face financial upheaval under new NHS payment system
3. NIH awards 1,400 new student loan repayment contracts
4. Despite legislation, prompt payment for radiology services elusive goal in New Jersey
5. Extra Medicare payments for private health plans to total $2.75 billion in 2004
6. Increasing co-payments may reduce use of essential and non-essential medications
7. Debate on payments to potential kidney donors: Yes or no?
8. A global strategy for reducing catastrophic health-care payments
9. Study shows declines in payment for emergency care
10. Undisclosed payments to doctors recruiting trial patients is unethical
11. Rx for drug dilemmas: Tailor the copayment to the patient

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:4/2/2020)... Ontario (PRWEB) , ... April 02, 2020 , ... ... VetFolio , today announced the launch of the veterinary CE course COVID-19: ... free indefinitely for VetFolio subscribers. , “When it comes to COVID-19, it’s important for ...
(Date:4/1/2020)... (PRWEB) , ... April 02, 2020 , ... Medical Device ... p.m. EDT, https://www.fdanews.com/mdchangemanagement , What change management method should one be ... method is often dependent on the type of change. Is it due to post-market ...
(Date:4/1/2020)... ... April 01, 2020 , ... ... information under California law,” says Keller Grover LLP attorney Eric A. Grover. ... data breaches and the negligent release and disclosure of medical information can, under ...
(Date:3/28/2020)... HUDSON VALLEY, N.Y. (PRWEB) , ... March 27, ... ... measures to protect workers and the public from the spread of the coronavirus. ... Andrew Cuomo, crews are pressing forward with infrastructure renewal and environmental protection projects ...
(Date:3/27/2020)... ... March 27, 2020 , ... ... by NJ Top Docs. Dr. Kubeck has been approved every year consecutively since ... and specializes in Spinal Surgery. , Dr. Kubeck’s medical education began at ...
Breaking Medicine News(10 mins):
(Date:4/1/2020)... ... April 01, 2020 , ... Dr. Michele ... partnership with the esteemed Haute Beauty network. , The Haute Beauty Network, well ... as a leading Anti-Aging Expert. , Haute Beauty offers a prominent collective of ...
(Date:3/30/2020)... ... March 30, 2020 , ... ... a new solution, TalkWithYourDoc.com . By leveraging technology developed by its ... all sizes to continue offering revenue-generating healthcare services while serving patients’ needs during ...
(Date:3/30/2020)... ... March 30, 2020 , ... “In the time ... Unfortunately, we hear stories from our customers of vendor price-gouging. We are here ... of people’s hardships in this difficult time,” says Borya Shakhnovich, CEO of airSlate ...
Breaking Medicine Technology:
Cached News: