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KCE Reporst 57 Musculoskeletal & Neurological Rehabilitation 247
Figure 11.4: Financing mechanisms
Stratified Rehabilitation Model: Post-acute
Acute Post-Acute Chronic
P
C
S
Research &
Education
Highly
Specific
Lump Sum or Envelope
or Mixed with
high weight on lump comp.
Specific
Lump Sum or Mixed with
high weight on lump comp.
(e.g.lump sum for coordination
and FFS for therapeutic acts)
General
Multi: FFS (or mixed with high weight on FFS comp.)
Mono: FFS
Note: the dimension “hospitalized and ambulatory” is not visualized
11.2.3 Options for financing variants of the post-acute stratified rehabilitation
model
Four variants of the post-acute stratified rehabilitation model were suggested in the
previous chapter. The pathology-specific variant focuses on target populations or
pathology groups.
11.2.3.1 Pathology specific variant
Since the basic level of this variant (general rehabilitation services) is similar to the
general level of the stratified model (i.e. relatively low predictability of rehabilitation
activities due to an expected high case-mix variability) the suggested financing
mechanism is also similar: FFS or a mixed system with a relatively high weight of the FFS
component. The second level (pathology specific rehabilitation centres) is characterised
by centres treating relatively homogeneous patient groups. Therefore a lump sum or a
mixed system with a relatively high weight of the lump sum component can be
defended.