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
BMJ-British Medical Journal

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:

(Date:9/3/2020)... , ... September 03, 2020 , ... ... Approval for Sunrise Technologies WALI wireless parking lot controller. This advanced LED wireless ... glare, reducing light trespass, and protecting the night sky against light pollution. Leo ...
(Date:9/1/2020)... ... ... Feeding Matters , the first organization in the world dedicated to advancing ... announce that the U.S. Centers for Disease Control and Prevention (CDC) has officially approved ... the U.S. International Classification of Diseases (ICD ) on October 1, 2021. ...
(Date:8/31/2020)... ... August 31, 2020 , ... ... exclusively to funding innovative lymphoma research and serving the lymphoma community through a ... the 10th Anniversary of Blood Cancer Awareness Month (BCAM) and its international ...
(Date:8/31/2020)... ... August 31, 2020 , ... Genesis Chiropractic Software and ... the launch of its integrated, HIPAA compliant, telehealth solution, available to US-based clients ... under 90 seconds. , According to the U.S. Department of Health & ...
(Date:8/31/2020)... ... ... Cure for Covid-19 “PTS” with Mediation & Hypnosis , At this very turbulent time ... experiencing deep anxiety, immense stress, and right now are needing serious relief from a constant ... the planet are experiencing a great degree of emotional discomfort, be it fear or worrying ...
Breaking Medicine News(10 mins):
(Date:8/28/2020)... ... August 28, 2020 , ... Dr. Mark Surrey has been in ... serves as a clinical professor in the Department of OBGYN at UCLA’s David Geffen ... & Pacific Coast Reproductive Society and is a Clinical Director of Fellowship Training for ...
(Date:8/27/2020)... (PRWEB) , ... August 27, 2020 , ... Austin Oral ... – is pleased to announce Dr. David Szalay, DDS, MD, has joined the practice. ... patients in the new Pflugerville office, which is scheduled to open this fall. The ...
(Date:8/27/2020)... ATLANTA (PRWEB) , ... August 27, 2020 , ... ... outcomes analytics, has partnered with Enquire, a leading provider of cloud CRM, marketing ... The two organizations' strategic partnership will involve the integration of Trella’s performance intelligence ...
Breaking Medicine Technology:
Cached News: