Paying hospitals for activity provides no incentive to improve. Using historical data, patients awaiting cardiac surgery can be profiled, with hospitals paid extra to bear the risk of complications, but receiving no further payment if a second operation is required
By measuring and comparing patient outcomes, a hospital group in the Netherlands has cut down on unnecessary x-rays, reduced surgical complications and delivered better results for cancer patients. Payers have taken note
The founders of the Diabeter clinics ditched secure jobs to embrace a new model of specialist care. Ten years on, they have the best paediatric glucose control outcomes and lower costs than most other providers
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