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Evolution of healthcare provider payment mechanisms

https://doi.org/10.17749/2070-4909.2019.12.4.318-326

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Abstract

Methods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best match the societal demands (greater access to health services, cost reduction, and better quality) and prevent “moral hazards”. As a result, the most advanced healthcare systems have stopped paying simply for service volume and rigorously restraining the costs. Instead, the updated system is based on the integrated payments combining the elements of cost control with the stimuli that promote a high quality and better access to healthcare service. At present, the new payment mechanisms aiming at improving the long-term treatment outcomes (life expectancy and quality of life) are available. The care provider payment system existing in Russia, by large, corresponds to the best international practices as far as the hospital care is concerned. However, the payment arrangements in the primary care network still lag behind the international standards. To improve the situation, quality indicators should be included in payments for primary care services.

About the Authors

V. V. Omelyanovskiy
Financial Research Institute of the Ministry of Finance of the Russian Federation; Russian Presidential Academy of National Economy and Public Administration
Russian Federation

Vitaly V. Omelyanovskiy – MD, PhD, Professor, Head of the Center for Healthcare Funding, Financial Research Institute of the Ministry of Finance of Russia; Head of the Laboratory for Health Technology Assessment at the Institute of Applied Economic Research, Russian Presidential Academy of National Economy and Public Administration (RANEPA)

Researcher ID: P-6911-2018
Scopus Author ID: 6507287753

3-2 Nastasyinsky pereulok, Moscow 127006
82 Vernadskogo prospect, Moscow 119571 



N. N. Sisigina
Financial Research Institute of the Ministry of Finance of the Russian Federation; Russian Presidential Academy of National Economy and Public Administration
Russian Federation

Natalya N. Sisigina – Researcher at the Institute for Social Analysis and Forecast, Russian Presidential Academy of National Economy and Public Administration; Junior Researcher at the Tax Policy Center, Financial Research Institute

Scopus Author ID: 57205304532
Researcher ID: X-4298-2019

3-2 Nastasyinsky pereulok, Moscow 127006
82 Vernadskogo prospect, Moscow 119571



V. K. Fedyaeva
Financial Research Institute of the Ministry of Finance of the Russian Federation; Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation
Russian Federation

Vlada K. Fedyaeva – Researcher at the Institute for Applied Economic Studies, Russian Presidential Academy of National Economy and Public Administration; Junior Researcher at the Health Care Finance Center, Financial Research Institute; Deputy Head of the Department of Medical Support and Standardization, Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation

Scopus Author ID: 57189502826

3-2 Nastasyinsky pereulok, Moscow 127006
10-5 Khokhlovskii pereulok, Moscow 



N. Z. Musina
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Sechenov University
Russian Federation

Nuriya Z. Musina – PhD, Associate Professor at the Department of Pharmacology, Faculty of Pharmacy, Sechenov First Moscow State Medical University; Head of the Development and Communications Department, Center of Healthcare Quality Assessment and Control, Ministry of Healthcare of the Russian Federation, Senior Researcher at the Center for Healthcare Funding, Financial Research Institute

Researcher ID: C-8075-2018

10-5 Khokhlovskii pereulok, Moscow 109028
8-2 Trubetskaya Str., Moscow 119048 



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For citation:


Omelyanovskiy V.V., Sisigina N.N., Fedyaeva V.K., Musina N.Z. Evolution of healthcare provider payment mechanisms. FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology. 2019;12(4):318-326. (In Russ.) https://doi.org/10.17749/2070-4909.2019.12.4.318-326

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