Page 40 - Effective healthcare cost containment policies Using the Netherlands as a case study - Niek W. Stadhouders

Chapter 2
Appendix to Chapter 2
Figure 2.5 Four-step methodology for a scoping review on cost containment policies, including search strategy and inclusion criteria.
Table 2.1: Overview of cost containment policy group definitions
nr
1 Macro budget A budget covering all health spending
2 Sector budget A budget covering sector health spending
3 Price limits Policies aiming to directly limit, control or cut the existing prices or fee schedules.
4 Fee schedule A policy of implementing fixed across-the-board-prices for providers/treatments.
5 Reference pricing Reference pricing is a specific type of fee schedule, where prices are set according to a
reference. This can be the price a comparable product, or a reference price based on
international prices for the same product.
6 Price negotiations Policies aimed to lower prices by implementing price negotiation systems.
7 Lower-cost Policies enforcing or promoting the use of lower cost inputs, such as medicines and substitutes medical devices, in treatment. Lower-cost substitutes can be subdivided into bulk
billing, use of generics and trade.
8 Wage controls Policies controlling salaries in health care
9 Profit controls Policies controlling profits of health providers
10 Capital controls Policies controlling the capital/investments in health care 11 Reduce Policies aimed to reduce unwanted variation in volumes
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Policy group
overtreatment
Definition