Outsourced eye care in the Finnish capital region: Switching from fee-for-service to bundled payment model.

ABSTRACT:

Purpose

The demand for specialised eye care has quadrupled over the last two decades, driven by an aging population and the advent of new treatments. This surge has led to increased outsourcing by the Helsinki and Uusimaa Hospital District (HUS) Eye Hospital, initially relying on a fee-for-service model. This model, however, has been marked by excessive bureaucracy and transaction costs. Between 2019 and 2021, HUS Eye Hospital embarked on a comparative analysis of outsourcing models to identify the most cost-effective, efficient and suitable approach.

Methods

After the review of literature and stakeholder interviews, three different outsourcing models were assessed: fee-for-service, capitation and bundled payment. The models were evaluated against each other and HUS insourci

SUBMITTER: Moisander S 

PROVIDER: S-EPMC12803638 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature