By the same authors

How much should be paid for Prescribed Specialised Services?

Research output: Working paperDiscussion paper



Publication details

DatePublished - Oct 2015
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages56
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics University of York


Overview: Current policy in the English National Health Service (NHS) promotes concentration of the specialised treatment of relatively rare and complex conditions into a limited number of specialist centres. However if a more complex patient case-mix leads to specialised treatments being systematically more costly than non-specialised treatment, then the national tariff payment system based on Healthcare Resource Groups (HRGs) may punitively penalise centres that perform this activity

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