The report is available in English with a French summary - KCE

58 Musculoskeletal & Neurological Rehabilitation KCE reports 57
systems can work both with prospective and retrospective reimbursement. Each of the
possible combinations has its advantages and disadvantages. Figure 5.1 shows that, at the
microlevel, fixed payment systems are not compatible with retrospective reimbursement
(but only with prospective reimbursement). Variable payment systems can be applied both
in retro- and in prospective ways. A summary of the possible combinations and their main
financial incentives is presented in Figure 5.2.
Figure 5.2: A summary of characteristics and incentives (assuming profit
maximisation) in payment systems according to the retrospective/prospective
and variable/fixed dimensions.
Source: Jegers, Kesteloot, et al. – 2002 123
Variable reimbursement systems for health care providers can further be classified
according to the unit of financing (Figure 5.3).