Peter Lindgren is research director at the Swedish Institute for Health Economics (IHE), Lund, and associate professor of health economics at the Medical Management Centre, Department of Learning, Informatics Management and Ethics at Karolinska Institutet, Stockholm, Sweden.
Health care differs from traditional markets in that it typically has three actors: the patient who consumes but often do not pay in full for this consumption, the physician who do not consume but gets paid for services rendered and a third party payer who is responsible for payment and risk adjustment. The way health care is paid for constitutes a key mechanism in the way health care payers can affect how providers deliver their services. Not surprisingly in systems financed solidarily, be they insurance or tax based, tweaking of the reimbursement systems constitutes what may look like an appealing way for politicians to achieve short term objectives in the delivery of health care.
There are several ways in which health care can be paid for, from traditional block budgets to novel bundle payment mechanisms tied to outcomes. In this lecture we will, with present reimbursement systems in Sweden as a point of departure, look at the theoretical and empirical basis underpinning how different compensation principles affect aspects of health care delivery such as productivity, cost control, quality and incentives for innovation complemented with how to try to answer the question of what the ideal reimbursement mechanism may look like.
- You can download the PowerPoint-presentation here.
Thursday 16.3 16.30-18.00
Venue: Auditorium Futurum
Associate Professor, Karolinska Institutet