Payment by Global Adjusted Budget (GBP)
Remuneration model based on history of annual remuneration, with predictability of adjustments
Remuneration model based on the history of the amounts paid annually to a specific provider to cover the contracted services. Based on this history, a global monthly amount to be paid to the provider is defined, with predictability of adjustments related to production and case complexity. Services are monitored using predefined indicators.
For the composition of the global budget, several information must be analyzed, such as: billing history, type of hospitalization of patients, disallowances and their reasons, minimum set of data for implantation of DRG (fundamental condition for hiring), relative weights and case-mix of the institution, assessment of data to identify possible indicators to be monitored, minimum set of epidemiological data for predictive calculations of care use, among others.
Hospitals with a history of service volume with the paying source.