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I'm trying to find info on how countries with socialized medicine make and revise budgets for hospitals, clinics and staff. In the US we have a Rube Goldberg machine-style "system," the base of which are Diagnoses-Related Groups, which are used to estimate how much Medicare/Medicaid should allow hospitals to spend on clinically-similar cases. Slapped on top of that are newer Value-Based Purchasing and Accountable Care Organization schemes in which providers are penalized and/or rewarded for meeting certain process and outcome goals within and across partnering institutions. . There is no healthcare "market" in reality (despite all the rhetoric about giving healthcare "consumers" "choice." Nor, on the other hand is their real planning, but rather a jerry-rigged system in-between. So: How do they do it in Cuba, in the UK, in the VA system here in the US? Are budgets drawn up based on people and resources actually employed and used? Are there fixed amounts based on patient flow? Some other criteria? _________________________________________________________ Full posting guidelines at: http://www.marxmail.org/sub.htm Set your options at: http://lists.csbs.utah.edu/options/marxism/archive%40mail-archive.com
