Establishing a fair playing field for payment by results

A. Mason; M. Miraldo; L. Siciliani; P. Sivey; A. Street

Establishing a fair playing field for payment by results

A. Mason, M. Miraldo, L. Siciliani, P. Sivey, A. Street

Research output: Working paper

Abstract

A key element of the reform agenda for the health service has been to encourage a plurality of provision for NHS patients and so improve the quality of care. In introducing plurality, the Department of Health is committed to establishing a „fair playing field‟. This means that the objective of competitive neutrality across NHS and Independent Sector (IS) providers of NHS services („a level playing field‟)
is tempered by the obligation upon the public sector to act in the public interest. This fair playing field must be supported by the system of reimbursement – called Payment by Results (PbR) – that is being implemented to fund NHS patients. PbR is a prospective payment system in which prices for treating
particular types of patients are fixed in advance by the Department of Health rather than being negotiated locally. As prices are fixed, any competition between providers should be on the basis of the quality of services, rather than their cost.

Original language	English
Place of Publication	York, UK
Publisher	Centre for Health Economics, University of York
Number of pages	88
Publication status	Published - 2008

Publication series

Name	CHE Research Paper
Publisher	Centre for Health Economics, University of York
No.	39

Access to Document

CHERP39Final published version, 0.99 MB

https://www.york.ac.uk/che/pdf/rp39.pdf

NIHR PRP PRU: Department Of Health Programme
Goddard, M. K. & Street, A. D.
1/08/06 → 31/07/11
Project: Research project (funded) › Research

Cite this

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AB - A key element of the reform agenda for the health service has been to encourage a plurality of provision for NHS patients and so improve the quality of care. In introducing plurality, the Department of Health is committed to establishing a „fair playing field‟. This means that the objective of competitive neutrality across NHS and Independent Sector (IS) providers of NHS services („a level playing field‟)is tempered by the obligation upon the public sector to act in the public interest. This fair playing field must be supported by the system of reimbursement – called Payment by Results (PbR) – that is being implemented to fund NHS patients. PbR is a prospective payment system in which prices for treatingparticular types of patients are fixed in advance by the Department of Health rather than being negotiated locally. As prices are fixed, any competition between providers should be on the basis of the quality of services, rather than their cost.

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BT - Establishing a fair playing field for payment by results

PB - Centre for Health Economics, University of York

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ER -

Establishing a fair playing field for payment by results

Abstract

Publication series

Access to Document

Projects

NIHR PRP PRU: Department Of Health Programme

Cite this