Financial mechanisms for integrating funds for health and social care

"Compared with ‘usual care’, schemes that integrated funds and resources to support integrated care seldom led to improved health outcomes. Although some schemes succeeded in shifting care closer to home, and some achieved short term reductions in acute care utilisation, no scheme demonstrated a sustained and long term reduction in hospital use." 

Financial mechanisms for integrating funds for health and social care: an evidence review 
A Mason, M Goddard, H Weatherly
Centre for Health Economics, University of York
March 2014

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Accountable care organisations: Testing, evaluating and learning what works

"Now more than ever the NHS needs to be able to innovate at scale and pace and testing out a variety of ways of integrating care should be encouraged."

Accountable care organisations in the United States and England: Testing, evaluating and learning what works
Stephen Shortell, Rachael Addicott, Nicola Walsh, Chris Ham
The King's Fund
March 2014

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The NHS payment system: evolving policy and emerging evidence

"This research report takes a comprehensive look at different approaches to payment and how they function in the English NHS. It then brings together and summarises the available evidence on whether recent payment initiatives have met their goals."

The NHS payment system: evolving policy and emerging evidence
L Marshall, A Charlesworth, J Hurst
Nuffield Trust
February 2014

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How can payment systems help to deliver better care?

"Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current and future challenges and presents options for how reforms to PbR could be taken forward."

Payment by results: how can payment systems help to deliver better care?
J Appleby, T Harrison, L Hawkins, A Dixon
The King's Fund
October 2012

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