Failures to use a significant proportion of available funds, reallocation of funds between line items and weak procurements systems at the local level and delays in disbursement of funds at the central level create gaps between policy objectives and policy implementation.
For example, unless bonuses are funded through savings (which has its own limitations as shown in Table 2), they will either lead to an additional increase in health care costs or, if funded through reallocation, might lead to differences in access to high quality care.
The "Comprehensive Allocation Process" (CAP) is a reproducible decision-making structure for the allocation of new collections funds, for the reallocation of funds within stagnant budgets, and for budget cuts in the face of reduced funding levels.
The release on the governor's website states that the PIPE program is administered by the Commonwealth Financing Authority and "funded through the reallocation of two fiscal years of funding from a previously underutilized program".
If additional funds are not forthcoming reallocation of MNH funding away from current activities likely to be less cost-effective than CI or FICI should also be considered.
A Fifa spokeswoman insisted there was "never any intention" to administer the fund and that it merely "facilitated" a reallocation of funds.
It evaporates with every line item slash, every concession, every reallocation of funding that slips by without protest, without political consequences.
The disease/health problem framework of the HsW model supports explicit consideration of allocation and reallocation of funding across all mutually exclusive and complementary interventions for the prevention and treatment of a disease/health problem under consideration.
Additional incentives could be considered [ 54], and some of this may be supported through a reallocation of funding from sectors with cost reductions (i.e., hospitals) to those with increased costs associated with caring for more complex populations (i.e., home care and nursing homes).
