Download or read book A Competitive Process for Procuring Health Services written by David Dranove and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government agencies employ a variety of mechanisms for securing goods and services from the private sector. These include posting prices, reimbursing for costs, and soliciting competitive bids. Procurement of healthcare services offers several unique challenges. The supplier can influence the quantity of services provided. It is often difficult to even specify in advance exactly what services are to be purchased. Lastly, quality is difficult to measure. Healthcare purchasers have deployed a variety of payment mechanisms to cope with these challenges. We apply the theory of procurement to the case of cataract surgery. We recommend implementing a system that combines a gatekeeper with competitive bidding among operating physicians who must perform all necessary services, including treatment for complications, within a global fee. We conclude by discussing the strengths and limitations of this proposal.

Download or read book A competitive process for procuring health services written by and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The choice of procurement scheme depends on a variety of factors, such as the presence of competing suppliers, the extent to which productive efficiency varies across providers, the degree of product differentiation, asymmetry of information between buyer and seller, and the importance of a fair and transparent procurement mechanism. [...] INTRODUCTION In Alberta, the body responsible for managing the provision of health care services to residents of the province is Alberta Health Services, which is also tasked with the challenge of ensuring access to high-quality care while keeping to a limited budget. [...] Subsequent procurement then relies on relational contracting, and the buyer and supplier end up negotiating over the terms of the contract and the division of the rents. [...] It Is Difficult to Specify the "Product" with Precision In a typical procurement situation, the purchaser specifies the characteristics of the product, and suppliers compete to sell the specified product. [...] The success of prospective payment clearly depends on the balance among • variation in hospital efficiency; • the ability of hospitals to increase efficiency in response to financial incentives; • whether there are substitutes in the production process not captured by the prospective payment; • whether it is costly to monitor and punish substitution done solely to increase profits; and • the abili.

Download or read book The Research Contracts Program written by National Center for Health Services Research and published by . This book was released on 1975 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Performance based Contracting for Health Services in Developing Countries written by Benjamin Loevinsohn and published by World Bank Publications. This book was released on 2008-01-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.

Download or read book A Competitive Process for Procuring Health Services written by David Dranove and published by . This book was released on 2009 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Improving Health Care Through Pro competitive Procurement Policy written by and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In its most recent market study report, the Competition Bureau published recommendations for federal, provincial and territorial governments to modernize public procurement processes used to acquire digital health care products and services. Improving health care through pro-competitive procurement policy is the second of three reports published as part of the Bureau's digital health care market study. The in-depth study examined how pro-competitive policies can foster innovation and bring about greater choice and access to digital health care services for Canadians. The latest report mainly focuses on public procurement processes which the provinces and territories use to acquire health care products and services to treat patients. In it, the Bureau identifies important barriers that prevent innovative suppliers from competing for public contracts. The report also makes major recommendations to governments across Canada to ensure that public procurement policy helps foster greater competition and innovation"--Provided by publisher.

Download or read book Purchasing to Improve Health Systems Performance written by Josep Figueras and published by . This book was released on 2005 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to provide a systematic overview on the theory and practice of purchasing for health services in Europe. Contents: Part one. R. Robinson, E. Jakubowski, J. Figueras: 1) Introduction. 2) Organization of purchasing in Europe. 3) Purchasing to improve health systems performance: drawing the lessons. Part two. 4) J. Forder, R. Robinson, B. Hardy: Theories of purchasing. 5) P.C. Smith, A.S. Preker, D.W. Light, S. Richard: Role of markets and competition. 6) A.P. den Exter: Purchasers as the public's agent. 7) M. McKee, H. Brand: Purchasing to promote population health. 8) D.J. Hunter, S. Shishkin, F. Taroni: Steering the purchaser: stewardship and government. 9) A. Duran, I. Sheiman, M. Schneider, J. Øvretveit: Purchasers, providers and contracts. 10) M. Velasco-Garrido, M. Borowirz, J. Øvretveit, R. Busse: Purchasing for quality care. 11) J. Langenbrunner, E. Orosz, J. Kutzin, M. Wiley: Purchasing and paying providers. 12) H. Maarse, T.A. Rathwell, T. Evetovits, A.S. Preker, E. Jakubowski: Responding to purchasing: provider perspectives.

Download or read book Government Code written by Texas and published by . This book was released on 2000 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Public Procurement written by Louise Knight and published by Taylor & Francis. This book was released on 2012-08-06 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: In many countries and sectors, public procurement is developing from a functional orientation to an effective socio-economic policy lever. There is a great interest among managers and academics to learn from other countries’ and other sectors’ change initiatives and how they dealt with the challenges they encountered. This text provides such learning opportunities, presenting case studies of public procurement, covering diverse nations, sectors and issues. The cases are combined with editorial commentary and contextualizing chapters to assist the student reader in understanding this complex topic. The text combines descriptions of cases of public procurement with cross case analysis to draw out the key dimensions to enable further examination of the central themes. Each case study concludes with three questions to aid its use as a teaching and training text. Edited by a team of internationally recognised experts in the field this innovative text illustrates the strategies and innovations within public procurement on a global scale and highlights common problems that all countries encounter. Public Procurement is vital reading for anyone with an interest in this topical area.

Download or read book OECD Public Governance Reviews Public Procurement Review of the Mexican Institute of Social Security Enhancing Efficiency and Integrity for Better Health Care written by OECD and published by OECD Publishing. This book was released on 2013-12-13 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review provides a comprehensive assessment of Mexico's IMSS procurement strategies, systems and processes and proposes a roadmap for the reform of its procurement function.

Download or read book Public Procurement Review of the State s Employees Social Security and Social Services Institute in Mexico written by and published by Org. for Economic Cooperation & Development. This book was released on 2013 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can citizens' health and well-being be improved when public resources are limited? What practices allow hospitals and health clinics to get state of art medical equipment and medicine at the right price? The OECD Procurement Review of the Mexican State's Employees' Social Security and Social Services Institute (ISSSTE) looks at the public entity responsible for providing medical and social services to Mexican civil servants. It provides a comprehensive assessment of its procurement function and how to improve it in order to enhance the overall efficiency and transparency of the organisation and the quality of the services it provides. The review builds on the OECD Principles for Enhancing Integrity in Public Procurement, good practices of other health organisations as well as comparative data on public procurement in OECD countries.

Download or read book Procuring Interoperability written by National Academy of Medicine and published by . This book was released on 2023-09-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Realizing the promise of digital technology will depend on the ability to share information across time and space from multiple devices, sources, systems, and organizations. The major barrier to progress is not technical; rather, it is in the failure of organizational demand and purchasing requirements. In contrast to many other industries, the purchasers of health care technologies have not marshaled their purchasing power to drive interoperability as a key requirement. Better procurement practices, supported by compatible interoperability platforms and architecture, will allow for better, safer patient care; reduced administrative workload for clinicians; protection from cybersecurity attacks; and significant financial savings across multiple markets. With funding support from the Gordon and Betty Moore Foundation, this National Academy of Medicine Special Publication represents a multi-stakeholder exploration of the path toward achieving large-scale interoperability through strategic acquisition of health information technology solutions and devices. In this publication, data exchanges over three environments are identified as critical to achieving interoperability: facility-to-facility (macro-tier); intra-facility (meso-tier); and at point-of-care (micro-tier). The publication further identifies the key characteristics of information exchange involved in health and health care, the nature of the requirements for functional interoperability in care processes, the mapping of those requirements into prevailing contracting practices, the specification of the steps necessary to achieve system-wide interoperability, and the proposal of a roadmap for using procurement specifications to engage those steps. The publication concludes with a series of checklists to be used by health care organizations and other stakeholders to accelerate progress in achieving system-wide interoperability.

Download or read book Purchasing Health Care Services in a Competitive Environment written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2003 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Second Public Procurement Review of the Mexican Institute of Social Security IMSS written by Collectif and published by OECD. This book was released on 2018-02-28 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review highlights achievements of the Mexican Institute of Social Security (Instituto Mexicano del Seguro Social, IMSS) in a number of areas – human resources, technological capacities and relations with suppliers – which were previously identified by the OECD as pivotal for the successful reform of IMSS procurement operations. This report highlights the progress made and offers recommendations to support IMSS in achieving procurement excellence and fulfilling its mandate to provide the best possible, most cost-effective healthcare services to citizens.

Download or read book Procurement Under IBRD Loans and IDA Credits written by World Bank and published by World Bank Publications. This book was released on 1995 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Health Care Value Chain written by Lawton R. Burns and published by Jossey-Bass. This book was released on 2002-04-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by Lawton R. Burns and a panel of expert contributors, from the prestigious Wharton School, The Health Care Value Chain analyzes the key developments and future trends in the United States' health care supply chain. Based on a groundbreaking research initiative underwritten by the industry/university consortium-- the Center for Health Management Research-- this important book offers an in-depth examination of how the health care supply chain helps create value and competitive advantage. The Health Care Value Chain offers a thorough examination of the trading relationships among the manufacturers of health care products, the distributors, the group purchasing organizations, and the hospital customers and end users of those products. And the authors show how health care professionals and manufacturers can work together to form beneficial strategic alliances.

Download or read book Regulations on procurement patient choice and competition written by Department of Health and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Health has laid regulations on procurement, patient choice and competition following the public consultation carried out in August 2012. The Department of Health has also published its response to the consultation on proposals to protect patients' interests by ensuring commissioners operate within a framework of rules to secure the best clinical services for patients and deliver best value.