Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on "Competition in Healthcare: Good, Bad or Ugly?"

摘要: An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings medicine, and payers can craft contracts influence performance. Yet contracting highly imperfect in both single-payer multi-payer systems. Arguably, a competitive, environment, contractual innovation may occur more rapidly than system. This contract design could enhance However, fails improve as payer incentives are misaligned with public policy objectives. Numerous countries seek healthcare contracts, but thus far no has demonstrably crafted necessary blend stimulate optimal