Optimisation of healthcare contracts: Tensions between standardisation and innovation: Comment on competition in healthcare: Good, bad or ugly?

Misja Mikkers, Padhraig Ryan

Research output: Contribution to journalComment/Letter to the editorScientificpeer-review

Abstract

An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur more rapidly than in a single-payer system. This innovation in contract design could enhance performance. However, contractual innovation often fails to improve performance as payer incentives are misaligned with public policy objectives. Numerous countries seek to improve healthcare contracts, but thus far no health system has demonstrably crafted the necessary blend of incentives to stimulate optimal contracting.
Original languageEnglish
Article number9
Pages (from-to)121-123
JournalInternational Journal of Health Policy and Management
Volume5
Issue number2
DOIs
Publication statusPublished - 2015
Externally publishedYes

Keywords

  • healthcare
  • competition
  • contracts
  • innovation
  • performance

Fingerprint Dive into the research topics of 'Optimisation of healthcare contracts: Tensions between standardisation and innovation: Comment on competition in healthcare: Good, bad or ugly?'. Together they form a unique fingerprint.

  • Cite this