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As NHS budgets become tighter and healthcare becomes more expensive (largely as a result of spiraling administrative costs), the NHS is likely to change from a mostly single payer (government funded) system to a US style multiple payer healthcare system, what Don Berwick refers to as a 'zoo of payment streams'.
High quality care is vital in any single or multiple payer system.
Furthermore, comparisons of hospitals were also possible using merged data from multiple payer sources.
To conclude, achieving high quality is problematic in both single and multiple payer systems.
It is not clear whether a single or multiple payer system would achieve superior quality.
It is not clear whether a single or multiple payer system achieves better quality.
Similar(51)
CMS--engaging multiple payers in payment reform.
The public plan option would do nothing to streamline the administrative tasks (and costs) of hospitals, physicians' offices, and nursing homes, which would still contend with multiple payers, and hence still need the complex cost tracking and billing apparatus that drives administrative costs.
Dilution refers to the influence of providers being remunerated by multiple payers who use different incentive schemes.
Looking at cost growth in OECD countries, it is not immediately apparent whether countries with multiple payers perform better or worse than single payer countries.
These PCMH initiatives typically include some element of payment reform (either by a single or multiple payers) to cover infrastructure costs and care coordination.
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