Cargando…

Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract

INTRODUCTION: Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal. DESCRIPTION OF INTEGRATED CARE CASE: Located in Southwest Germany, Gesundes Kinzigtal is one of the fe...

Descripción completa

Detalles Bibliográficos
Autores principales: H., Hildebrandt, C., Hermann, R., Knittel, M., Richter-Reichhelm, A., Siegel, W., Witzenrath
Formato: Texto
Lenguaje:English
Publicado: Igitur, Utrecht Publishing & Archiving 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914874/
https://www.ncbi.nlm.nih.gov/pubmed/20689772
_version_ 1782184805271601152
author H., Hildebrandt
C., Hermann
R., Knittel
M., Richter-Reichhelm
A., Siegel
W., Witzenrath
author_facet H., Hildebrandt
C., Hermann
R., Knittel
M., Richter-Reichhelm
A., Siegel
W., Witzenrath
author_sort H., Hildebrandt
collection PubMed
description INTRODUCTION: Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal. DESCRIPTION OF INTEGRATED CARE CASE: Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in cooperation with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg). DISCUSSION AND (PRELIMINARY) CONCLUSION: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organization of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether—and to what extent—cost reduction may be attributed to a real population health gain.
format Text
id pubmed-2914874
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Igitur, Utrecht Publishing & Archiving
record_format MEDLINE/PubMed
spelling pubmed-29148742010-08-04 Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract H., Hildebrandt C., Hermann R., Knittel M., Richter-Reichhelm A., Siegel W., Witzenrath Int J Integr Care Integrated Care Cases INTRODUCTION: Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal. DESCRIPTION OF INTEGRATED CARE CASE: Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in cooperation with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg). DISCUSSION AND (PRELIMINARY) CONCLUSION: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organization of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether—and to what extent—cost reduction may be attributed to a real population health gain. Igitur, Utrecht Publishing & Archiving 2010-06-23 /pmc/articles/PMC2914874/ /pubmed/20689772 Text en Copyright 2010, International Journal of Integrated Care (IJIC)
spellingShingle Integrated Care Cases
H., Hildebrandt
C., Hermann
R., Knittel
M., Richter-Reichhelm
A., Siegel
W., Witzenrath
Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title_full Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title_fullStr Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title_full_unstemmed Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title_short Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract
title_sort gesundes kinzigtal integrated care: improving population health by a shared health gain approach and a shared savings contract
topic Integrated Care Cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914874/
https://www.ncbi.nlm.nih.gov/pubmed/20689772
work_keys_str_mv AT hhildebrandt gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract
AT chermann gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract
AT rknittel gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract
AT mrichterreichhelm gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract
AT asiegel gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract
AT wwitzenrath gesundeskinzigtalintegratedcareimprovingpopulationhealthbyasharedhealthgainapproachandasharedsavingscontract