WORK PACKAGE 3

Impact of financing/payments schemes and price-setting of integrated chronic care for multi-morbidity

MAIN OBJECTIVES

  1. Identify theoretical and applied financing and payment schemes as well as distinguish financial incentives at micro, meso, and macro level provided by each scheme to treat multi-morbidity.
  2. Determine the conditions for the successful implementation of these schemes.
  3. Estimate the impact of payment schemes on health care expenditures, quality of care, and efficiency at regional/national level.
  4. Develop a methodology for price-setting for ICC models.

APPROACH

A review of published and grey literature and interviews with national experts in the partner countries will be used to (i) identify theoretical and applied financing and payment schemes, (ii) distinguish the financial incentives to treat multi-morbidity at micro (patient, provider), meso (organization), and macro (country) level, and (iii) produce a comprehensive description of the characteristics and requirements for different payment schemes to be appropriate for supporting ICC. Routine data from regional/national registries in the partner countries and a variety of program evaluation techniques will be used to estimate the impact of payments schemes on health care expenditures, quality of care, and efficiency at regional/national level. Interviews will be held with professionals in the projects selected in WP1 in order to investigate what financial incentives were applied and which methods were used for price-setting of ICC models.

LEADING PARTNER

University of Manchester (UNIMAN), Manchester Centre for Health Economics (MCHE), United Kingdom

Other partners involved:

  • Technical University Berlin (TUB), Department of Health Care Management, Germany
  • Consorci Institut D’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Hospital Clinic de Barcelona, Spain
  • Erasmus University Rotterdam (EUR), Erasmus School of Health Policy & Management (ESHPM), Netherlands
  • Institute for Advanced Studies (IHS), Department of Economics and Finance, Austria
  • University of Bergen (UiB), Department of Economics, Norway