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Australian Health Care Homes trial

case study

By: Jane Hall,Kees van Gool,Philip Haywood,Jim Pearse,Deniza Mazevska,Serena Yu,Michael Wright,Peyman Firouzi Naeim

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Australian Health Care Homes trial

case study

By: Jane Hall,Kees van Gool,Philip Haywood,Jim Pearse,Deniza Mazevska,Serena Yu,Michael Wright,Peyman Firouzi Naeim

This report was developed to inform the WHO Technical Product, purchasing instruments to strengthen quality health services for chronic illnesses (WHO-OECD joint publication). The Australian primary care system largely consists of independent private medical practices funded by fees for services. A Health Care Homes model that included voluntary patient enrolment and voluntary provider participation, with bundled payment for chronic disease management was implemented as a trial from October 2017 to June 2021. The model aimed to provide more flexible services delivered by multidisciplinary teams. Previous attempts to introduce patient enrolment supported by capitation had mixed results. The trial design of this involved a variety of stakeholders. Practices did not become purchasers of other services, and careful attention was paid to identifying and risk-rating suitable patients. The evaluation of the trial demonstrated some improved disease management and more use of a variety of practitioners without any significant change in hospital use. The decrease in fee-for-service revenue was more than compensated for by the capitated payments.

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Page Count

64

Publisher

World Health Organization

Published Date

ISBN 10

9240078517

ISBN 13

9789240078512

Australian Health Care Homes trial

case study

By: Jane Hall,Kees van Gool,Philip Haywood,Jim Pearse,Deniza Mazevska,Serena Yu,Michael Wright,Peyman Firouzi Naeim

Write a review Read reviews Take a Quiz Solve Book Puzzle

Australian Health Care Homes trial

case study

By: Jane Hall,Kees van Gool,Philip Haywood,Jim Pearse,Deniza Mazevska,Serena Yu,Michael Wright,Peyman Firouzi Naeim

This report was developed to inform the WHO Technical Product, purchasing instruments to strengthen quality health services for chronic illnesses (WHO-OECD joint publication). The Australian primary care system largely consists of independent private medical practices funded by fees for services. A Health Care Homes model that included voluntary patient enrolment and voluntary provider participation, with bundled payment for chronic disease management was implemented as a trial from October 2017 to June 2021. The model aimed to provide more flexible services delivered by multidisciplinary teams. Previous attempts to introduce patient enrolment supported by capitation had mixed results. The trial design of this involved a variety of stakeholders. Practices did not become purchasers of other services, and careful attention was paid to identifying and risk-rating suitable patients. The evaluation of the trial demonstrated some improved disease management and more use of a variety of practitioners without any significant change in hospital use. The decrease in fee-for-service revenue was more than compensated for by the capitated payments.

Average ratings

N/A

5

0%

4

0%

3

0%

2

0%

1

0%

Solve jigsaw puzzle

Age

Page Count

64

Publisher

World Health Organization

Published Date

ISBN 10

9240078517

ISBN 13

9789240078512