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KCE reports 57 Musculoskeletal & Neurological Rehabilitation 83
Figure 5.16: Cost model centres 5 to 7 (7.71 conventions)
Source: RIZIV/INAMI 2006
Center 5
Equivalent 1 (6h) 0,5 (3h)
Cost Hosp. 117 62
Cost Amb. 102 54
Center 6
Equivalent 1 (6h) 0,5 (3h)
Cost Hosp. 119 63
Cost Amb. 103 56
Center 7
Equivalent 1 (6h) 0,5 (3h)
Cost Hosp. 122 66
Cost Amb. 106 58
Centres 5, 6 & 7 do not have to limit production capacity and are as a consequence not
directly subjected to limited expenses. Nevertheless they have to report production
data for follow up to the RIZIV/INAMI.
BOTH TYPES OF 7.71 CONVENTIONS
Overall, the 7.71 system lacks transparency and important differences exist between
pricing structures for the different centres.
Treatment sessions, even for the same underlying pathologies, is reimbursed differently
for each centre (Figure 5.17). The comparison is based on theoretical (hourly)
equivalents as stated in the different conventions.
Figure 5.17: Comparison of the cost per session for the 7.71 centres
Centre 1
2
3
4
5
6
7
Baseline (1h)
1h
50 60 40 36 21 21 22
2h 101 119
3h 153 180 120 109 62 63 66
6h 239 219 117 119 122
Source: RIZIV/INAMI 2006
One can argue that this might be justified by the complexity of the treatment, personnel
involved and infrastructure used but these differences mainly seem to be the result of
historical negotiations rather than based on objective quality indicators.
Other minor differences exist between the individual conventions:
• Centres 3 & 4 accept only outpatients. Centres 1 and 2 (and 5, 6 and
7) treat in- and out patients. The price of the outpatients conventions
is significantly higher than for inpatient. The assumption is that the
financing is supposed to be partly covered by hospitalisation ‘day-price’.
• The total number of expected working days (used for calculating the
required staffing levels) is different for centres 1-2 (250 days) versus
centres 3-4 (236 days); they are not specified for the centres 5-7;
• The percentage of the costs that are indexed vary between the
institutions (Centres 1 to 4) because of: