Global Budget Payment: Proposing the CAP Framework.
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.
National Yang-Ming University, Taipei, Taiwan.
Bradley
B
Chen
University of Hawai'i at Mānoa, Honolulu, USA Harvard T.H. Chan School of Public Health, Boston, MA, USA vfan@post.harvard.edu.
Victoria Y
VY
Fan
comparative health systems; cost control; global budget; health economics; provider payment
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