Key Components of the Payment by Results System

Executive Summary

  • The payment by results system is founded by patient-level data. In order to work, the payment by results system relies on three key components. These are:
    • Classification system – required to capture information about patient diagnoses and healthcare interventions in a standard format
    • Currency – classification systems are grouped into currencies, the unit of healthcare for which payment is made
    • Costing information – assigning costs to currencies. Where the price is set nationally, it is called the tariff