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