Skip to main content
. 2005 Nov 24;6(Suppl 1):24–29. doi: 10.1007/s10198-005-0315-0

Table 3.

Definition of benefit catalogues for inpatient care

Before 2004–2005 After 2004–2005
Funding rules depend upon hospital status: PH and PNFPH, vs. PFPH New funding rules making the basket more explicit
Range of reimbursed medical procedures defined at least for PFPH but not for other services, e.g., nursing care Same list of medical procedures for both private and public hospitals (Article 162-1-7 of the SSC),
No positive list for PH, an implicit coverage for all services in PH and PNFPH mainly financed by the global budget Same prospective per-case payment system for PH and PFPH for all medical, surgery and obstetrics services, based on DRG-type classification of GHS, but tariffs still differ from PH to PFPH.
Basket of reimbursable drugs defined for PH and PFPH Basket of reimbursable drugs defined for PH and PFPH

PH public hospital, PNFPH private non-for-profit hospital, PFPH private-for-profit hospital, DRG diagnosis-related group, GHS homogeneous stay group