Publications by authors named "Thomas Reindersma"
Introduction: Global interest is growing in new value-based models of financing, delivering, and paying for health care services that could produce higher-quality and lower cost outcomes for patients and for society. However, research indicates evidence gaps in knowledge related to alternative payment models (APMs) in early experimentation phases or those contracted between private insurers and their health care provider-partners. The aim of this research was to understand and update the literature related to learning how industry experts design and implement APMs, including specific elements of their models and their choice of stakeholders to be involved in the design and contractual details.
View Article and Find Full Text PDFValue-based payment aims to shift the focus from traditional volume-driven arrangements to a system that rewards providers for the quality and value of care delivered. Previous research has shown that it is difficult for providers to change their medical and organizational practices to adopt value-based payment, but the role of actors in these reforms has remained underexposed. This paper unravels the motives of non-clinical and clinical professionals to maintain institutionalized payment practices when faced with value-based payment.
View Article and Find Full Text PDFIntegrated Payment, Fragmented Realities? A Discourse Analysis of Integrated Payment in the Netherlands.
Int J Environ Res Public Health
July 2022
Article Synopsis
- - The text discusses how current payment models in health and social care impede integrated care, despite attempts to implement integrated payment schemes, particularly in the Netherlands, where a mixed payment architecture has emerged.
- - It outlines the purpose of the paper, which is to analyze different discourses around integrated payment models, identifying predominant themes and tracking their evolution among healthcare stakeholders.
- - Four key discourses identified are: Quality-of-Care (improving care), Affordability (financial sustainability), Bureaucratization (administrative challenges), and Strategic (political and professional issues), suggesting that the future of integrated payment will rely on balancing these concerns while focusing on care quality and system affordability.
Article Synopsis
- Traditional payment models in healthcare focus on volume rather than value, while network-level reimbursement aims to enhance patient care through structural changes in organizations.
- A scoping review of 76 studies, mainly from the USA, examined network-level payment models like capitation and bundled payments, finding that quality and utilization generally improved or remained stable, along with spending performance.
- The review suggests continuing experimentation with these reimbursement models, emphasizing the need to explore not just outcomes but also the contexts and mechanisms driving those outcomes.