Effects of Per-diem payment on the duration of hospitalization and medical expenses according to the palliative care demonstration project in Korea

Shin, Ju Young; Yoon, Seok Jun; Ahn, Hyeong Sik; Yun, Young Ho

doi:10.1002/hpm.2366

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Besides a 2.5% decrease in duration of care (p<0.0001), costs associated with lab tests, cancer treatment, and analgesic medications dropped by 6.62%, 4.4%, and 0.59%, respectively (p<0.0001). The average reduction in length of hospital stays was 3.19 days post implementation of the per-diem model [16].…”

Section: Explicit Provider Payment Methodsmentioning

confidence: 96%

“…A single study examined the transition from fee-for-service (FFS) reimbursement to a per-diem payment system (PDPS). This study involved patients from seven hospitals in a PDPS program with FFS-based centers [16]. Compared to the controls in the FFS setting, per-diem reimbursement significantly reduced length of hospital stays (p = 0.0001) and total medical costs for PDPS participants.…”

Section: Explicit Provider Payment Methodsmentioning

confidence: 99%

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The impact of provider payment reforms and associated care delivery models on cost and quality in cancer care: A systematic literature review

et al. 2019

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Objectives To investigate the impact of provider payment reforms and associated care delivery models on cost and quality in cancer care. Methods Data sources/study setting: Review of English-language literature published in PubMed, Embase and Cochrane library (2007-2019). Study design: We performed a systematic literature review (SLR) to identify the impact of cancer care reforms. Primary endpoints were resource use, cost, quality of care, and clinical outcomes. Data collection/extraction methods: For each study, we extracted and categorized comparative data on the impact of policy reforms. Given the heterogeneity in patients, interventions and outcome measures, we did a qualitative synthesis rather than a metaanalysis. Results Of the 26 included studies, seven evaluations were in fact qualified as quasi experimental designs in retrospect. Alternative payment models were significantly associated with reduction in resource use and cost in cancer care. Across the seventeen studies reporting data on the implicit payment reforms through care coordination, the adoption of clinical pathways was found effective in reduction of unnecessary use of low value services and associated costs. The estimates of all measures in ACO models varied considerably across participating providers, and our review found a rather mixed impact on cancer care outcomes.

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Section: Explicit Provider Payment Methodsmentioning

confidence: 96%

Section: Explicit Provider Payment Methodsmentioning

confidence: 99%