Krankenkassen, Krankenhausverbände und der Bund beklagen unisono die öffentliche Unterfinanzierung der deutschen Krankenhausinfrastruktur. Zuständig für die Infrastruktur sind die Länder, die seit Jahren die Haushaltsmittel für Krankenhausinvestitionen reduzieren. In diesem Beitrag werden...

This paper assesses the relative efficiency and flexibility of public spending in Slovenia compared to the advanced and new EU member states. Spending on health care, education, and social protection is relatively high in Slovenia without achieving correspondingly better outcomes. Inefficiencies...

2010 represented the moment when the reform was applied in the health field by decentralizing the management ofthe health units with beds (hospitals). This analysis points out the way hospital financing was carried out after that and the main problems the health care system of Romania has to...

A frequent form of pay-for-performance programs increase reimbursement for all services by a certain percentage of the baseline price. We examine how such a “bonus-for-quality” reimbursement scheme affects the wage contract given to physicians by the hospital management. To this end, we...

A frequent form of pay-for-performance programs increase reimbursement for all services by a certain percentage of the baseline price. We examine how such a “bonus-for-quality” reimbursement scheme affects the wage contract given to physicians by the hospital management. To this end, we...

The paper analyzes the German inpatient capital costing scheme by assessing its cost module calculation. The costing scheme represents the first separated national calculation of performance-oriented capital cost lump sums per DRG.

Evaluation of the true relationship between costs and specialisation in hospitals is hindered by the lack of a standard measure. Specialised hospitals might produce at lower costs because their staff builds expertise and care is better organised. On the other hand specialised hospitals might be...

We assess the impact of the English version of prospective payment, termed Payment by Results (PbR), on hospital quality, as measured by in-hospital mortality and 28-day emergency readmission. To do this, we exploit the phased introduction of PbR across hospitals and across three treatments (hip...

In 2011, Member States and the European Parliament brought into force a Directive on the application of patients’ rights in cross-border healthcare within the EU. Austria voted against this Directive even though its national legislation was already in line with the rulings of the European...