Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
Paying health care providers performance based incentive payments is one form of Results-Based Financing (RBF). Verifying that providers have reached set performance thresholds is a crucial part of RBF program implementation and key to maintaining...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2013/01/17643176/verification-results-based-financing-rbf-case-united-kingdom http://hdl.handle.net/10986/13567 |
| Summary: | Paying health care providers performance
based incentive payments is one form of Results-Based
Financing (RBF). Verifying that providers have reached set
performance thresholds is a crucial part of RBF program
implementation and key to maintaining the transparency,
fairness, and viability of the programs. The national health
service of the United Kingdom has been implementing one of
the largest RBF initiatives worldwide, the Quality and
Outcomes Framework (QOF), since 2004. The QOF provides
incentive payments for primary care providers to improve
quality of care and patient experience. Its verification
process is well developed and relies on a highly
sophisticated clinical information system as the foundation
for performance data. This case study describes the process
for verification of achievement rates under the QOF and
identifies lessons learned applicable to other RBF programs.
The case study is part of a broader analysis, which includes
multiple country case examples, to expand knowledge about
the verification process and practices to address the
immediate design and implementation needs of RBF programs. |
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