What is it about?

The English HRG tariff is used to pay providers for their health care activity. However the short stay tariff which included both same day and 1 day stays encourages gaming and unfairly rewards those organisations which 'admit' patients as a same day stay rather than as an A&E attendance.

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Why is it important?

Any tariff system should avoid gaming and should promote equity rather than financial imbalance.

Perspectives

The English HRG tariff contains many hidden flaws that promote both gaming and creaming, see http://www.hcaf.biz/2010/Publications_Full.pdf

Dr Rodney P Jones
Healthcare Analysis & Forecasting

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This page is a summary of: High efficiency or unfair financial gain?, British Journal of Healthcare Management, December 2010, Mark Allen Group,
DOI: 10.12968/bjhc.2010.16.12.585.
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