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 Payment by Results context they will receive the most basic service, and when they do not engage will spiral in the system, becoming further criminalised, and marginalised from family and from housing or employment opportunities.
Lord Warner said: "Payment by results provides a fair and transparent basis for funding healthcare, together with driving up quality and value for money across the NHS.
Though changes were frequently made in details of the annual Codes over the thirty-five year history of Payment by Results, the underlying principle of the system persevered, with governmental grants continuing to be viewed essentially as a reward for results attained.
There have been numerous and largely unsuccessful schemes involving some version of payment by results tried in the United States in the recent and not so recent past.6 But it is now almost 150 years since payment by results first shook the world education landscape.
But the likelihood of multi-agency collaboration turning into a variety of buck passing is maximised where competing providers are looking over their shoulders at Payment by Results and contract renewal.
Visiting the region ahead of Unite's election for general secretary, Jerry Hicks, who is standing against incumbent Len McCluskey, said the UK's largest union needs to stop just handing money to the Labour Party and wants to see a "payment by results" system introduced.
As part of a major shake-up of rehabilitation unveiled yesterday, lower-risk offenders will be supervised by private firms and charities on a payment by results basis.
This conference comes at a crucial time providing guidance on implementing payment by results (PbR) schemes across local services and collaborating with the voluntary and private sector to transform services and deliver result-based social outcomes.
The PM also announced that from 2015 private firms and charities would be charged with bringing down reoffending on a payment by results basis, and anyone given a prison term would be put behind bars, even if means expanding the jail population.
Juliet Lyon, director of the Prison Reform Trust, said: "Payment by results is a rather scary experiment and rolling it out across the justice system without evidence of its effectiveness presents considerable risks.
MORE than 40 Liverpool schools will take part in the first trial of payment by results in education.