What is it about?

This paper demonstrates how risk sharing between health care commissioners can be used to reduce the inescapably high risk mainly arising from emergency admissions and small number volatility.

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Why is it important?

If the intrinsic financial risk is very high then smaller commissioning organisations need to share the financial risk.

Perspectives

The Department of Health has been careful to avoid open discussion around financial risk in health care. This deliberate 'sin of omission' amalgamates ignorance regarding the real issues and allows the NHS to be continually blamed for perceived financial failure. For an extended series of papers see http://www.hcaf.biz/2010/Publications_Full.pdf A 4-Part series in Journal of Health Care Finance has updated these concepts, winter 2021 http://www.healthfinancejournal.com/~junland/index.php/johcf/index

Dr Rodney P Jones
Healthcare Analysis & Forecasting

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This page is a summary of: Financial risk at the PCT/PBC interface, British Journal of Healthcare Management, July 2008, Mark Allen Group,
DOI: 10.12968/bjhc.2008.14.7.30561.
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