Global Budget Payment: Proposing the CAP Framework

INQUIRY: The Journal of Health Care Organization, Provision, and Financing

Bradley Chen¹ 

关键词: global budget;    cost control;    health economics;    comparative health systems;    provider payment;   

DOI  :  10.1177/0046958016669016

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

To control ever-increasing costs, global budget payment has gained attention but has unclear impacts on health care systems. We propose the CAP framework that helps navigate 3 domains of difficult design choices in global budget payment: Constraints in resources (capitation vs facility-based budgeting; hard vs soft budget constraints), Agent-principal in resource allocation (individual vs group providers in resource allocation; single vs multiple pipes), and Price adjustment. We illustrate the framework with empirical examples and draw implications for policy makers.

【 授权许可】

CC BY-NC