It’s not me it’s Aaron Carroll from healthcare Triage who says that:
The French government has issued a report enlisting the available surrogates of risk factors, health determinants and health status of the population at a nation’s wide level.
Some experts from the self employed workers social scheme (RSI) participated to the panel of experts.
In many cases, to construct the surrogates the authors of the report plans to use the reimbursement databases of the national mandatory health care insurance schemes. It is the case for example when the surrogate is a recourse rate to a category of treatment or medicine (anti hypertensive treatment; opioid addiction treatment …).
Feel free to consult the report (in French) here:
INDICATEURS DE SUIVI DE L’ÉTAT DE SANTE DE LA POPULATION RÉVISION 2013 – RAPPORT FINAL
Before the health insurances era Doctors were often payed in nature with eggs, chicken or other farm products. Needless to say that they were often poorly paid, furthermore people called them so lately that the care was unable to keep them alive and the doctors lost their patients in the same time. Once the Doctors and the people they cared got the health insurances to be created Doctors received currencies for their services and could see more than once their patients. The issue of payment was transferred to the insurer. In the beginning insurers reimbursed with a fee for service model like the patients did previously. But the increasing amount of money needed made them think of an alternative payment model. And here came the Pay for Performance model.
France has already put in place such a payment model here:
USA will implement this mode of payment in 2019 here:
Developing countries have already experienced these kind of payment here:
Below are other links related to the way Doctors will be payed in the future:
The Affordable Care Act (aka Obamacare) is practically a laboratory experiment at the scale of a continent that allows health economists to observe the effects of expending the health coverage to a whole population (a thing that Europeans have done and that they call modestly Universal Disease Coverage, in French couverture maladie universelle or CMU). Starting from his reading of a
Congressional Budget Office (CBO) report the health economist Austin Frakt lists the incentives and disincentives to work that a mandatory health coverage creates. But in my view the point is: does the labor market need workers anymore, with or without health coverage? If it really needs workers then it would be better that they could afford care and rehabilitation, it is the interest of both the employer and the employee. If it doesn’t, the labor market will always consider that the costs are to high.
The blog the incidental economist is about health economics, below is the post with a link to the CBO report:
Recently I found a definition of the field I am interested in: ie the health services research. Wikipedia defines it as ” to examine how people get access to health care practitioners and health care services, how much care costs, and what happens to patients as a result of this care.” quoting Academyhealth in the references.
Putted more simply, and according to Academyhealth, HSR tries to give responses to 4 questions in the field of health care in a community:
At what cost?
Under what circumstances?
Read more here
image edited to hide card's owner name. author: Arturo Portilla (Photo credit: Wikipedia)
Casemix-based hospital financing systems are now spreading all over European Countries.
Started for the first time in 1966 in the USA because of a concern about the abuse of payment stemming from the Medicare implementation the concept jumped across the Atlantic Ocean and was called PMSI in 1981 in France. The pitfall of such patients classification systems consists in the possibility of manipulating the coding. So physician advisers have to be suspicious when a trend is uncovered without any other epidemiological explanation.
Related reports and articles:
CONFERENCE ON EUROPEAN CASEMIX-BASED
HOSPITAL PROSPECTIVE PAYMENT SYSTEMS: actes_uk
Changes in diagnostic coding may affect data that indicate decline in pneumonia hospitalizations: