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KCE reports 57 Musculoskeletal & Neurological Rehabilitation 59
Figure 5.3: Variable payment : Unit of reimbursement
Variable payment:
Unit of reimbursement
Sponsor
Financial risk
Provider
Per item-of-service
Per diem
Per case
Per episode
Per patient
Per period
The unit used, e.g. item-of-service, diem, case, episode, patient or period indicates the
intensity of the link between the provider’s production costs and his return. The financial
risk varies per unit of financing. As the ‘unit’ of payment becomes more extensive (i.e.
covers a broader set of health care activities), the financial risk for the provider increases,
to the advantage of the sponsor, whose financial risk decreases.
5.1.2 Financing of rehabilitation in Belgium
Financing of musculoskeletal and neurological rehabilitation in Belgium is split up in
services related to a hospital stay (a small part for therapists payment is included) and
rehabilitation activities (nomenclature and conventions). Each part has its own typology of
payment systems (Figure 5.4).