Table 1.
Attribute | Definition | Levels |
---|---|---|
1. Adequacy or sufficiency of the payment rate | The extent to which the payment rate covers the costs of services purchased |
Adequate Inadequate |
2. Predictability of payment amounts | Whether providers know what amount to expect |
Predictable Unpredictable |
3. Predictability of payment patterns | Whether providers know when they will get paid |
Predictable Unpredictable |
4. Complexity of the accountability mechanisms associated with the PPM | The complexity of the accountability and reporting mechanisms associated with the PPM |
Simple accountability requirements Complex/burdensome accountability requirements |
5. Service coverage of the PPM | The range of services the PPM is paying for | Outpatient services, inpatients services, dental, optical, surgical, nursing care |
6. The performance requirements of the PPM | Whether the PPM is tied to performance |
Payments tied to performance Payments not tied to performance |
7. Flexibility or autonomy of the PPM | Autonomy health care providers have to spend or use the PPM funds on anything |
Autonomous (Flexible) Restricted (Rigid) |
Adapted from RESYST consortium’s framework on the characteristics of multiple funding flows [32]