Towards case-mix based homecare payment: Developing a new Dutch homecare payment system, with and for homecare partners, to reach the Quadruple Aim

Introduction: Case-mix based prospective homecare payment is being implemented in several countries to achieve high-quality, efficient, client-centered care. With case-mix, clients are allocated, based on their relevant characteristics (such as independence in activities of daily living (ADL)), into homogeneous groups with similar resource use. In the Netherlands, as part of an ongoing reform of the Dutch homecare payment system, a case-mix model was developed using Case-Mix Short Form (CM-SF) questionnaire data. However, this model, explaining 21% of the variance in homecare use, still requir... Mehr ...