Payment by Results
Information Centre to focus on cost of over-60s hospital care
Patients aged 60 and over account for more than half of the income hospitals receive under the payment-by-results tariff, the Health and Social Care Information Centre has reported.
Health economies rush to pilot year-of-care tariff
More than 90 sets of providers and commissioners have shown interest in becoming one of the six trial sites for year-of-care tariff trials, HSJ has learned.
DH reveals swift year-of-care tariff plans
The Department of Health has revealed details of its plans to “quickly but carefully” introduce year-of-care tariffs in a bid to cut hospital admissions and encourage community based treatment.
Jim Easton: Board to move quickly on year of care tariffs
The NHS Commissioning Board is moving “quickly but carefully” to adopt year of care tariffs, which are considered essential if the service is to meet its £20bn efficiency challenge.
NHS data skewed by efforts to protect trust finances
The “disproportionate” financial implications of changes to the way the NHS classifies patients have led it to maintain “inaccurate recording and inaccurate payments”, the Audit Commission has reported.
Market competition test proposed for trusts seeking extra funding
Monitor might refuse to allow local increases to the prices paid to NHS trusts unless commissioners have proven they could not buy the services more cheaply elsewhere, an independent report for the regulator has suggested.
York FT must change gatekeeping role, says competition panel
The competition regulator has ruled against a deal between a primary care trust and a hospital which saw the latter refer some patients who it went on to treat itself.
Integrated care needs 'ambitious' target to succeed, DH told
Ministers will be in a “difficult position” if they ignore advice to set a national target to drive integrated care, the chief executive of the King’s Fund has warned.
Operating framework piles pressure on hospital sector
The NHS’s financial plans for 2012-13 will further concentrate pressure on acute providers and could force a wave of hasty mergers, experts have warned.
Commissioners require 'significant help' with mental health tariff
Commissioners will struggle to implement an operating framework requirement to pay for mental health services under tariff without “significant help”, according to the NHS Confederation’s Mental Health Network.
DH denies tariff adjustment rule revives price competition
The Department of Health has been forced to deny that a measure in the NHS Operating Framework 2012-13 could introduce price competition on elective procedures.
Mental health tariffs 'not fit for purpose' - NHS Confederation
Mental health trusts and commissioners have not made enough progress in devising a tariff for their services despite enthusiasm from staff, the NHS Confederation has found.
Primary care spend fell fastest last year - Information Centre
Spending on primary care last year fell more quickly than expenditure on the rest of the NHS, figures from the NHS Information Centre reveal.
Commissioners may struggle with 'tight' PbR timescales for mental health
Plans to bring in payment by results for mental health next year could be delayed by the reorganisation of NHS commissioning structures, the NHS Confederation has warned.
Monitor could suspend competition to encourage integration models
Monitor’s chief executive has set out a range of measures the future regulator will consider as it works to reconcile competition and service integration.
Exclusive: top teaching hospitals under threat from tariff system
The payment by results tariff system could tip England’s elite teaching hospitals into deficit and damage the country’s medical research industry, their chief executives have warned.
Providing integrated care won't be easier for CCGs, study suggests
Clinical commissioning groups will find it no easier than primary care trusts to provide integrated care unless they are able to overcome perverse incentives, a report has found.
More on PbR
Noel Plumridge: forget hospitals, competition will thrive in non-acute services
“There are rich commercial pickings in non-acute care.”
Noel Plumridge: an uncertain future for payment by results
Where is the detail on tariff for 2013 and beyond?
'Make change a mantra, and lead the patient centered revolution'
Traditional financial incentives have led to behaviours that serve the interests of organisations, not those of patients. It’s time to lead a revolution for change, and make healthcare a patient centered
Results business? The view from the HSJ Payments by Results conference 2011
Derek Miller reports on the HSJ Payment By Results conference 2011, where a conflict emerged between the official message on PbR and what is actually happening on the ground between cash strapped PCTs and providers.
Noel Plumridge: PbR is becoming increasingly irrelevant
The strategic direction of tariff funding used to be steady expansion of scope and steady growth in sophistication. In time, it was understood, payment by results would cover virtually the entire English NHS.
The benefits of PbR in commissioning smoking cessation services
Using a payment by results approach to commissioning smoking cessation services has significantly improved results in the West Midlands, which could have implications for national policy, as Fraser Battye and Steven Wyatt explain.
