Dear listmembers;
I have a question for this list regarding the integration of
cost-responsibility for producers of health care (outpatient settings).
Since the decision about which drugs to prescribe are made by physicians,
should not the cost responsibility for drug costs idealy, in for example, a
capitated system be put on the physician(producer of health care)? To my
knowledge, most health care systems divide the reimbursement for health care
into
1) Reimbursement for physician services
2) Reimbursement for pharmaceuticals
Most attempts at cost control for pharmaceuticals seem directed towards the
consumers, while attemts to control the costs of physician services often
are directed towards the physicians/producers of health care. This practice,
to mee, seem a little avkward. The only goverment-sponsorded system that
integrates payment for pharmaceuticals and phycisian services I have come
across so far is the Arizona Medicaid system.
If you list members have other examples of integrated payment systems (such
as the Arizona capitation model) I would be grateful for any examples about
such models. Especially examples from european countries would be of much
interest.
Regards
Mattias Lundbäck
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|