Claims based risk adjusted budget allocation in integrated care in Belgium

Belgium contracted 12 pilots for implementing quadruple aim in social and health care. ‘more value for the same money’ is supported by a guarantee that benefits for the health insurance are available for financing higher value services not yet covered by health insurance. Observed expenditure is compared with risk adjusted expected expenditure for a predefined population in each project. The paper explains theoretical background and practical consequences. Fragmentation in health and social care goes with avoidable costs and suboptimal quality of care. Belgian authorities started a journey tow... Mehr ...