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Evidence from a range of countries demonstrates that, at the macro level, the method of provider compensation influences practice patterns.
Finally, clear communication of the reasons for a particular method of provider payment can be important in garnering interest and support from providers working within the scheme (Basaza et al. 2007; Basaza et al. 2008).
Our review suggests that the method of provider payment has the potential to also be an important determinant of CBI sustainability, through mechanisms such as provider participation, satisfaction and retention in CBI; the quantity and quality of services provided to CBI patients; patient demand for CBI services; and population enrolment, risk pooling and financial sustainability of CBI.
Existing evidence suggests that the method of provider payment can impact the performance of community-based health insurance (CBI), through provider participation and support for CBI, population enrolment and patient satisfaction with CBI, quantity and quality of services provided, and provider and patient retention.
Given the substantial investment by national governments and international organizations in establishing CBI schemes in developing countries (Bennett 2004; Carrin et al. 2008), it is important to better understand how the method of provider payment impacts an insurance scheme's long-term viability.
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The degree to which the methods of provider payment affect CBI performance outcomes is still to a large extent unknown.
A drive towards more cost effective models of healthcare funding has seen many countries reassess traditional methods of provider payment, such as fee for service, in an effort to reorient incentives away from provider-induced demand.
Indeed, in reflecting on the first eighteen months of NHI development it has been acknowledged that the envisioned methods of provider payment "introduce considerable complexity into the negotiation … and it will take time to implement payment reforms" [ 37].
Engaged in Research: The mPOWEr project (mobile Post-Operative Wound Evaluator), a post-discharge wound surveillance mobile health (mHealth) app, encourages patients to engage in their wound management, allows surgical providers to monitor their patients post-discharge, and provides a reliable method of patient-provider communication.
Despite much ado about the transition from fee-for-service to "value" as the method of paying providers, judging from HIMSS, the real money appears to still be in fee-for-service medicine.
This method of using provider-specific files from the US Health Care Financing Administration has been previously described [ 1].
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