What is it about?
The 23 categories of programme budgeting costs used in English Primary Care Organisations were used to identify which categories contributed most to financial volatility.
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Why is it important?
Social care, neoplasms, neurological and hearing were associated with highest cost volatility, followed by trauma & injury and adverse effects. Exclusion of the top 6 categories led to a 3-times reduction in overall financial risk.
Perspectives
Part of a longer series investigating the reality of financial risk in health care commissioning, and how risk pooling can act to mitigate this risk, see http://www.hcaf.biz/2010/Publications_Full.pdf Somewhat curiously government agencies in England have avoided open discussion over this issue with Primary Care Organisations.
Dr Rodney P Jones
Healthcare Analysis & Forecasting
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This page is a summary of: High risk categories and risk pooling in healthcare costs, British Journal of Healthcare Management, August 2012, Mark Allen Group,
DOI: 10.12968/bjhc.2012.18.8.430.
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