Payment to primary care providers is generally based on capitation for registered patients, weighted with their estimated 'illness burden', fee-for-service and performance-based payments [ 13].
It frets about cross-subsidies, saying that the burden of fees for exceeding credit limits falls on the young and the poor, who are in effect padding the accounts of the rich (and, although it does not say so, the careful).
The letter came shortly after the culture secretary, John Whittingdale, announced he had reached a deal with the broadcaster's director general, Tony Hall, to place the burden of free licence fees for the over-75s on the BBC.
The BBC could close a channel the size of BBC2 or the whole of its radio division if it were required to shoulder the £600m-plus burden of free licence fees for the over-75s in Wednesday's budget.
On the BBC's plans to expand the World Service, Purnell said it had been built into the BBC's recent pre-budget funding deal with the government – in which it took on the burden of free licence fees for the over-75s – that the corporation could discuss a funding boost for the global news service in the autumn spending review.
The offer to close the loophole – with the estimated £150m annual cost likely to increase in the years ahead – was made during negotiations with the BBC last summer that also saw the corporation agree to shoulder the £750m burden of free licence fees for the over-75s.
The government had promised to close the loophole, which already costs the BBC about £150m a year and is likely to increase, during negotiations last summer that also saw the corporation agree to shoulder the £750m burden of free licence fees for the over-75s.
As one of the countries in sub-Saharan Africa where healthcare user fees are in place and efforts are being made to address equity in access to healthcare services, policy makers have sought to alleviate this burden by eliminating user fees for the poorest [ 11].
The rosters of physicians in enhanced fee-for-service groups have a higher average morbidity burden and greater variation in morbidity than the capitation group rosters.
Ministers asked the BBC to shoulder the £750m burden of paying free licence fees for the over-75s in July, and later that month unveiled a green paper on the future of the broadcaster which questioned if it should continue to be "all things to all people".
