payment by results
- (written as Payment by Results)In the English National Health Service this refers to the system, introduced in 2002, of financial controls and rewards through which the central ministry influences providers throughout the care delivery service. Providers are paid for the activity they actually deliver. Commissioners will have sufficient funding to look for alternative providers if agreed activity levels are not met. Primary Care Trusts commission the volume of activity required to deliver service priorities, adjusted for case-mix, from a range of providers using standard national tariffs for healthcare resource groups. The tariff is adjusted for regional variation in wages and other costs of service delivery using a nationally determined formula. In the US there are at least 31 separate sponsors of similar arrangements, covering more than 20 million enrolees. The incentives relate to both process and structure with some role for patient-related outcomes. The procedure usually rewards good performance (including those already performing well) rather than improvement.
- noun a method of paying a worker in which the amount of money he or she receives increases with the amount of work done or goods produced