The Structure and Financing of Health Care Systems Affected How Providers Coped With COVID-19.
Milbank Q
; 99(2): 542-564, 2021 06.
Article
in English
| MEDLINE | ID: covidwho-1280253
ABSTRACT
Policy Points We compared the structure of health care systems and the financial effects of the COVID-19 pandemic on health care providers in the United States, England, Germany, and Israel systems incorporating both public and private insurers and providers. The negative financial effects on health care providers have been more severe in the United States than elsewhere, owing to the prevalence of activity-based payment systems, limited direct governmental control over available provider capacity, and the structure of governmental financial relief. In a pandemic, activity-based payment reverses the conventional financial positions of payers and providers and may prevent providers from prioritizing public health because of the desire to avoid revenue loss caused by declines in patient visits.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Delivery of Health Care
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
/
Asia
/
Europa
Language:
English
Journal:
Milbank Q
Journal subject:
Social Medicine
/
Public Health
/
Health Services
Year:
2021
Document Type:
Article
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