Payment by Results


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Related to Payment by Results: outpatient waiting times, waiting lists

Payment by Results

A new system for reimbursing healthcare costs of patients treated in UK hospitals, which is based on the simplistic flow: admit, treat, code, pay at standardised tariffs. It is a transparent and rules-based Department of Health mechanism for paying for secondary (hospital) care, which is currently paid for by primary care trusts (PCTs). Under PbR, PCTs buy services from hospital trusts for each patient, based on a national tariff for hospital care and procedures, adjusting them in line with the cost of living in the PCT area—e.g., London vs the North of England—thereby eliminating the need for price negotiations between providers and commissioners. Information on inpatient care, day cases and A&E services is based on Healthcare Resource Group (HRG code), while other information on outpatient and ward attendances is split by specialty codes.
References in periodicals archive ?
in the first year, Payment by Results proved to be a more complex, time-consuming and challenging process for the early implementers than they anticipated.
But it seems that the bureaucrats who implemented and maintained Payment by Results for all these years just did not know, nor perhaps care, very much about child-centred pedagogical theories.
Keynote Address: Sue Nowak, Head of Payment by Results, Expanding the Scope, Department of Health
The Department of Health last night said that the changes to PPA were aimed at "moving money around the system" to ensure every part of the country received a fair share of NHS funding before the introduction of payment by results.
He said the claim by unions that pay reforms were a return to a 19th- century system of payment by results "was always a nonsense, but performance is crucial".
As the NHS makes the transition to Payment by Results, MedeFinance's technology and services provide both Trusts and commissioners with an invaluable and reliable solution for understanding their operations," stated Jim Quist, Chairman and CEO of MedeFinance, Inc.
And because payment by results gives every hospital a real incentive to improve its clinical efficiency and its cost efficiency, the new system will help solve the problem of the deficits.
Mr de Gruchy said the survey results showed teachers were prepared to accept "sensible reform", but not payment by results.
He warned hospitals will close in a system of payment by results if work is removed.
Chief executive James Birrell of the trust, which runs Fazakerley and Walton hospitals, said: ``As well as greater flexibility to address local issues, one of the advantages relates to the timing of the introduction of the new Payment by Results funding mechanism which will apply to Foundation Trusts ahead of other Trusts.
Teachers will today sat debate calls to strike rather than accept payment by results.
But he warned: "I cannot conceive of a day when the NUT will embrace performance-related pay, particularly that element which is payment by results.