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 ?
Results from the NHS, one year after a Payment by Results model was introduced to pay for elective (ie non-emergency) care between Primary Care Trusts (PCTs) and NHS Foundation Trusts during 2004-5 found that data quality was woeful (Audit Commission, 2005; O'Connor and Neumann, 2006).
Though the authorities often argued that an important benefit of Payment by Results was its standardisation of the testing process, in practice a distinct lack of uniformity in examining was evident.
The father of payment by results, Education Minister Robert Lowe - who, tellingly, had previously been vice president of the Board of Trade and would ultimately be promoted to the lofty post of Chancellor of the Exchequer - boasted to his colleagues in the British House of Commons:
Developing robust outcome measures for Payment by Results schemes is a time-consuming and complex process;
These guidelines, together with the payment tariff set by payment by results, should deter inappropriate expenditure on advertising.
But Harry Fletcher, assistant general secretary of the probation union Napo, said: "The Coalition's policy of cuts, combined with payment by results, is undermining effective practice.
com)-- Learn from innovative, partner-driven approaches, including Payment by Results models, community budgets and joint commissioning arrangements that are improving outcomes for both vulnerable families and single homeless people at a critical time of rising service demand and reducing resources.
It proves how overpaid our supposed best players in the Premiership are and it's time some reality returned to football whereby they should receive payment by results.
She said: "I remain concerned about the longer term impact of payment by results [where hospitals are funded per patient treated, which could hit those like Alder Hey which provide specialist services] and I am in continuing talks with the Strategic Health Authority to make sure the trust gets the support it needs.
These include a new scheme called Payment by Results - where the trust has to pay acute hospitals for each operation or appointment they carry out - which will cost it an extra pounds 9 million this year.
The Department of Health tariff scheme, Payment by Results, means that by 2008 hospitals will be paid a set rate for each operation, treatment and procedure.
As part of the Practice Based Commissioning (PBC) scheme for the NHS, all Primary Care Trusts are expected to provide standardized financial and activity information and benchmarks for all services covered under Payment by Results and Prescribing.