Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands.

ABSTRACT: Global budget (GB) arrangements have become a popular method worldwide to control the rise in healthcare expenditures. By guaranteeing hospital funding, payers hope to eliminate the drive for increased production, and incentivize providers to deliver more efficient care and lower utilization. We evaluated the introduction of GB contracts by certain large insurers in Dutch hospital care in 2012 and compared health care utilization to those insurers who continued with more traditional production-based contracts, i.e., cost ceiling (CC) contracts. We used the share of GB hospital funding per postal code region to study the effect of contract types. Our findings show that having higher share of GB financing was associated with lower growth in treatment intensity, but it was also associated wit

SUBMITTER: Gaspar K 

PROVIDER: S-EPMC7058687 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature