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Evaluation Of The New Austrian Inpatient Reimbursement System

In: Monitoring, Evaluating, Planning Health Services

Author

Listed:
  • M. S. RAUNER

    (Department of Innovation and Technology Management, University of Vienna, Vienna, Austria)

  • M. M. SCHAFFHAUSER-LINZATTI

    (Department of Finance and Banking, University of Vienna, Vienna, Austria)

Abstract

First, we briefly discuss different approaches for inpatient reimbursement systems. Then, we outline the way from the old per diem payment system in Austria to the new performance-oriented reimbursement strategy called performance-oriented hospital financing (abb. LKF) with limited budget. The LKF-system is split into two main parts: the national core part and the regulation part defined by each federal state. Whereas the core part generally contains the reimbursement of performances for inpatients, the regulation part takes into account the structure-specific quality criteria of hospitals. Consequently, one and the same performance is differently reimbursed in each federal state and in each hospital. Then, we accurately analyse the underlying formulas for reimbursement for general inpatients derived from our system dynamics model illustrated by a numerical example. We close the paper by summarising the limitations and benefits of the LKF-system.

Suggested Citation

  • M. S. Rauner & M. M. Schaffhauser-Linzatti, 1999. "Evaluation Of The New Austrian Inpatient Reimbursement System," World Scientific Book Chapters, in: V De Angelis & N Ricciardi & G Storchi (ed.), Monitoring, Evaluating, Planning Health Services, chapter 20, pages 221-233, World Scientific Publishing Co. Pte. Ltd..
  • Handle: RePEc:wsi:wschap:9789812817839_0020
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    Citations

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    Cited by:

    1. Rauner, Marion S. & Kraus, Markus & Schwarz, Sigrun, 2008. "Competition under different reimbursement systems: The concept of an internet-based hospital management game," European Journal of Operational Research, Elsevier, vol. 185(3), pages 948-963, March.
    2. Michaela-Maria Schaffhauser-Linzatti & Achim Zeileis & Marion Rauner, 2009. "Effects of the Austrian performance-oriented inpatient reimbursement system on treatment patterns: illustrated on cases with knee-joint problems," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 17(3), pages 293-314, September.
    3. Rauner, M. S. & Schaffhauser-Linzatti, M.-M., 2002. "Impact of the new Austrian inpatient payment strategy on hospital behavior: a system-dynamics model," Socio-Economic Planning Sciences, Elsevier, vol. 36(3), pages 161-182, September.

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