OUTCOME-BASED PAYMENT APPROACHES

Payment and financing can be an enabler or obstacle to value-based health care. 

Each payment system brings its own set of desired and perverse incentives; different approaches are likely to be required to fit the needs of different populations, different conditions and for different types of care. Particular consideration is needed when financial incentives between sectors are not aligned.

However, financing encompasses more than just the payment system, also reflecting the flows of capital to support service structures. Debate on payment systems must also give consideration to balancing financial risk, outcomes, performance and responsibility.

Hedge, S 2019, Issues Brief: Re-orienting funding from volume to value in public dental services, Deeble Institute for Health Policy Research, https://ahha.asn.au/publication/health-policy-issue-briefs/deeble-issues-brief-no-32-re-orienting-funding-volume-value

Independent Hospital Pricing Authority (IHPA) 2019, Innovations in health funding – global horizon scan, https://www.ihpa.gov.au/publications/value-based-health-care

Fitzgerald, J 2015, Issues Brief: Options for finance in primary care in Australia, Deeble Institute for Health Policy Research, https://ahha.asn.au/system/files/docs/publications/deeble_institute_issues_brief_no._11_fitzgerald.pdf

Gough, R 2019, Implementing value-based healthcare procurement and contracts in the UK and Europe (webinar), https://youtu.be/_03_pELgNKg

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