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Financing and Reimbursement

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Handbook Integrated Care

Abstract

Differences in financing mechanisms and sources and in the allocation and flows of funding are frequently cited as a major barrier for the implementation of more integrated approaches to service delivery. In response, countries have experimented with different financial instruments and mechanisms, such as setting aside dedicated resources to support the development and implementation of innovative care models, introducing new forms of paying providers in order to incentivise coordination and integration, shifting the responsibility for funding of particular components of service delivery between funding agencies, or introducing pooled budgets to integrate health and social care. This chapter provides an overview of the different ways countries have sought to change financing and payment mechanisms at different levels in order to enable better coordination among providers in the delivery of health services and between health and social care and thus support integration.

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Notes

  1. 1.

    Source: OANDA. Average exchange rates. https://www.oanda.com/currency/average. Accessed 29 June 2016.

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Authors and Affiliations

  1. European Observatory on Health Systems and Policies, London School of Economics and Political Science, London School of Hygiene & Tropical Medicine, London, UK

    Ellen Nolte

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  1. Ellen Nolte
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Correspondence to Ellen Nolte .

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Editors and Affiliations

  1. Institute for Epidemiology, Social Medicine and Health System Research, Medical School Hannover, Hannover, Germany

    Volker Amelung

  2. International Foundation for Integrated Care, Oxford, United Kingdom

    Viktoria Stein

  3. International Foundation for Integrated Care, Oxford, United Kingdom

    Nicholas Goodwin

  4. Health Policy Research and Planning, Clalit Health Services, Tel-Aviv, Israel

    Ran Balicer

  5. European Observatory on Health Systems and Policies, London School of Economics and Political Science, London School of Hygiene & Tropical Medicine, London, United Kingdom

    Ellen Nolte

  6. Workforce Research & Evaluation, Alberta Health Services Calgary, Calgary, Alberta, Canada

    Esther Suter

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Nolte, E. (2017). Financing and Reimbursement. In: Amelung, V., Stein, V., Goodwin, N., Balicer, R., Nolte, E., Suter, E. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-56103-5_11

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