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

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

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

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80 Musculoskeletal & Neurological Rehabilitation <strong>KCE</strong> <strong>report</strong>s 57<br />

Two different convention models were identified for the 7.71 centres. Although a<br />

typology ex<strong>is</strong>ts, each centre has an <strong>in</strong>dividual agreement that stipulates the exact price<br />

of a treatment (depend<strong>in</strong>g on the convention model and <strong>in</strong>dividual criteria).<br />

Conventions 7.71 do not allow any cumulation <strong>with</strong> other nomenclature on the same<br />

day, whereas 9.50 does <strong>in</strong> the second phase of the convention (see 5.1.5.1).<br />

Two centres are specific for multiple scleros<strong>is</strong> patients. Two other centres are specific<br />

for traumatic bra<strong>in</strong> <strong>in</strong>jury patients. <strong>The</strong> three other centres can accept patients as<br />

def<strong>in</strong>ed on the pathology l<strong>is</strong>t (important orthopaedic and /or neurological rehabilitation)<br />

and one of these centres <strong>is</strong> also specific for epilepsy patients.<br />

5.1.6.2 First type of 7.71 conventions (specific categoral rehabilitation centres)<br />

For the first type of 7.71 conventions (centres 1 to 4 treat<strong>in</strong>g MS and TBI), the<br />

“price/full equivalent treatment” <strong>is</strong> calculated based on:<br />

• Normal production capacity<br />

• Personnel and operat<strong>in</strong>g costs<br />

<strong>The</strong>se elements are negotiated between the RIZIV/INAMI and the centres <strong>in</strong>dividually.<br />

Figure 5.15 shows an overview of these data for the four centres. <strong>The</strong> tables on the left<br />

side focus on normal production capacity, the tables <strong>in</strong> the middle focus on the<br />

personnel and operat<strong>in</strong>g cost. <strong>The</strong> table on the right side focuses on the result<br />

(price/full equivalent treatment).

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