Figure 1
Information in the model of financial flows and risk factors (own figure).
Table 1
Overview on reimbursement methods (own table).
| Reimbursement forms | Performance-linked | Time of calculation | Time of payment | Level of generalization | Profundity/extent of services |
|---|---|---|---|---|---|
| Salary | Indirect | Calculation is independent from actually provided services | Payment is independent from actually provided services | Encompassing all services of the employee | Care provider |
| Fee for service | Direct | Prospective | Retrospective; cost reimbursement principle or fee schedule | Individual service | Care provider |
| Case rate | Direct | Prospective | Retrospective | Case, organisation-internally | Care provider |
| Complex case rate | Direct | Prospective | Retrospective | Case, across organisations | Network of care providers |
| Contact capitation | Indirect | Prospective | Retrospective | Full services, indication-specific | Network of care providers |
| Capitation | Indirect | Prospective | Prospective | Full service provision | Network of care providers |