New activity-based funding model for Australian private sector overnight rehabilitation cases: the rehabilitation Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) model.
Traditional overnight rehabilitation payment models in the private sector are not based on a rigorous classification system and vary greatly between contracts with no consideration of patient complexity. The payment rates are not based on relative cost and the length-of-stay (LOS) point at which a reduced rate applies (step downs) varies markedly. The rehabilitation Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) model (RAM), which has been in place for over 2 years in some private hospitals, bases payment on a rigorous classification system, relative cost and industry LOS. RAM is in the process of being rolled out more widely. This paper compares and contrasts RAM with traditional overnight rehabilitation payment models. It considers the advantages of RAM for hospitals and Australian Health Service Alliance. It also considers payment model changes in the context of maintaining industry consistency with Electronic Claims Lodgement and Information Processing System Environment (ECLIPSE) and health reform generally.
Australian Health Service Alliance (AHSA), 974 Burke Road, Camberwell, Vic. 3124, Australia. Email.
Brian
B
Hanning
Australian Health Service Alliance (AHSA), 974 Burke Road, Camberwell, Vic. 3124, Australia. Email.
Nicolle
N
Predl
D001315:Australia; D018166:Health Care Reform / Q000191:economics; D006801:Humans; D017146:Models, Organizational; D017149:Private Sector / Q000191:economics*; D012047:Rehabilitation Centers / Q000191:economics*; D015895:Relative Value Scales; D019467:Subacute Care / Q000191:economics*