Tag Archives: hospital

How Europe intends to finance its hospital facilities

18 Apr
image edited to hide card's owner name. author...

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:
http://medicalxpress.com/news/2012-04-diagnostic-coding-affect-decline-pneumonia.html

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HMO or ACO?

9 Jul

In the USA after the HMO (Health Management Organisation) here comes the ACO (Accountable care Organisation). Physician don’t accept to be aligned with hospitals. What is the best : fee for service (physician) or fee for organisation (hospitals). Both have their advantages. In France instead of alignment with prefer private/public complementarity and hospital are financed with a mix of fee for service (PMSI) and fee for organisation (Global budget).

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