Towards incentivising integration: A typology of payments for integrated care

Stokes, J. , Struckmann, V., Rud Kristensen, S., Fuchs, S., van Ginneken, E., Tsiachristas, A., Rutten-van Mölken, M. and Sutton, M. (2018) Towards incentivising integration: A typology of payments for integrated care. Health Policy, 122(9), pp. 963-969. (doi: 10.1016/j.healthpol.2018.07.003) (PMID:30033204)

Abstract

Traditional provider payment mechanisms may not create appropriate incentives for integrating care. Alternative payment mechanisms, such as bundled payments, have been introduced without uniform definitions, and existing payment typologies are not suitable for describing them. We use a systematic review combined with example integrated care programmes identified from practice in the Horizon2020 SELFIE project to inform a new typology of payment mechanisms for integrated care. The typology describes payments in terms of the scope of payment (Target population, Time, Sectors), the participation of providers (Provider coverage, Financial pooling/sharing), and the single provider/patient involvement (Income, Multiple disease/needs focus, and Quality measurement). There is a gap between rhetoric on the need for new payment mechanisms and those implemented in practice. Current payments for integrated care are mostly sector- and disease-specific, with questionable impact on those with the most need for integrated care. The typology provides a basis to improve financial incentives supporting more effective and efficient integrated care systems.

• Item Type: Articles
• Additional Information: The SELFIE project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 634288.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Stokes, Dr Jonathan
• Authors: Stokes, J., Struckmann, V., Rud Kristensen, S., Fuchs, S., van Ginneken, E., Tsiachristas, A., Rutten-van Mölken, M., and Sutton, M.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: Health Policy
• Publisher: Elsevier
• ISSN: 0168-8510
• ISSN (Online): 1872-6054
• Published Online: 11 July 2018
• Copyright Holders: Copyright © 2018 The Author(s)
• First Published: First published in Health Policy 122(9):963-969
• Publisher Policy: Reproduced under a Creative Commons license