Table 2 Desirable funding model direction for palliative care
From: Aligning policy objectives and payment design in palliative care
Current models | More desirable models |
|---|---|
Per diem or fee-for-service payment | Activity-based funding using an agreed classification such as AN-SNAP |
Capped funding | Uncapped funding with performance monitoring |
Separate funding mechanisms for different sites of care or death | Funding arrangements designed in light of policy objectives to encourage death in preferred location. Funding could be separate for different sites but must be aligned to reduce incentives on providers to choose site of care inappropriately and to ensure policy objectives are achieved |
Regular use of out-of-pocket payments | Reduced use of out-of-pocket payments |
No, or implicit, performance metrics | Explicit use of performance metrics and reporting, potentially including use as part of a pay for performance program |