ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2020
Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The impact of the global budget payment on healthcare fund expenditure in integrated delivery systems: evidence from China's county-level medical alliance reform.Frontiers in public health · 2026Article
- The impact of an innovative payment model on the direct economic burden of infectious disease inpatients: evidence from a pilot City in central China.International journal for equity in health · 2025Article
- The effect of an innovative payment method on inpatient volume and bed resources and their regional distribution: the case of a central province in China.International journal for equity in health · 2024Article
- Length of hospital stays and financial incentives: evidence from Dutch rehabilitation centers.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- The impact of an innovative payment method on medical expenditure, efficiency, and quality for inpatients with different types of medical insurance: evidence from a pilot city, China.International journal for equity in health · 2024Article
- Stakeholders' perspectives on capturing societal cost savings from a quality improvement initiative: A qualitative study.PloS one · 2024Article
- The Effects of the Multi-Hospital Global Budget Payment on Medical Expenditure and Service Volume: The Evidence from Dangyang County, China.Risk management and healthcare policy · 2024Article
- Preventable hospitalizations through ED: does the number of hospital beds matter under the global budget in a single-payer system in Taiwan?Frontiers in public health · 2024Article
- Reimbursement of care does not equal the distribution of hospital resources: an explorative case study on a missing link among Dutch hospitals.BMC health services research · 2023Article
- Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary.International journal of health economics and management · 2023Article
- Improving Performance in Complex Surroundings: A Mixed Methods Evaluation of Two Hospital Strategies in the Netherlands.International journal of health policy and management · 2023Article
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4 authors.
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Abstract
Global budget (GB) arrangements have become a popular method worldwide to control the rise in healthcare expenditures. By guaranteeing hospital funding, payers hope to eliminate the drive for increased production, and incentivize providers to deliver more efficient care and lower utilization. We evaluated the introduction of GB contracts by certain large insurers in Dutch hospital care in 2012 and compared health care utilization to those insurers who continued with more traditional production-based contracts, i.e., cost ceiling (CC) contracts. We used the share of GB hospital funding per postal code region to study the effect of contract types. Our findings show that having higher share of GB financing was associated with lower growth in treatment intensity, but it was also associated with higher growth in the probability of having at least one hospital visit. While the former finding is in line with our expectation, the latter is not and suggests that hospital visits may take longer to respond to contract incentives. Our study covers the years of 2010-2013 (2 years before and 2 years following the introduction of the new contracts). Therefore, our results capture only short-term effects.
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