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Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract.

H H, C H, R K, M RR, A S, W W - Int J Integr Care (2010)

Bottom Line: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach.This, in turn, is to lead to a comparative reduction in health care cost.Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether-and to what extent-cost reduction may be attributed to a real population health gain.

View Article: PubMed Central - PubMed

Affiliation: Hamburg, Germany and CEO of Gesundes Kinzigtal GmbH, Hauptstr. 7, 77716, Haslach, Germany.

ABSTRACT

Introduction: Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal.

Description of integrated care case: Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in cooperation with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg).

Discussion and (preliminary) conclusion: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organization of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether-and to what extent-cost reduction may be attributed to a real population health gain.

No MeSH data available.


Related in: MedlinePlus

Financial architecture of the Kinzigtal shared health gain contract.
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fg003: Financial architecture of the Kinzigtal shared health gain contract.

Mentions: An increase in contribution margin—relative to the starting point of 1.56%—in subsequent years means a profit for the concerned health insurer, with the profit being attributed to Gesundes Kinzigtal GmbH's activities. This profit will be distributed between Gesundes Kinzigtal GmbH and the concerned health insurer according to an agreement made beforehand. As a for-profit company, Gesundes Kinzigtal GmbH may reinvest its profit into more preventive programmes and/or health promotion facilities or distribute a part of the profit to its shareholders (see Figure 3).


Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract.

H H, C H, R K, M RR, A S, W W - Int J Integr Care (2010)

Financial architecture of the Kinzigtal shared health gain contract.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2914874&req=5

fg003: Financial architecture of the Kinzigtal shared health gain contract.
Mentions: An increase in contribution margin—relative to the starting point of 1.56%—in subsequent years means a profit for the concerned health insurer, with the profit being attributed to Gesundes Kinzigtal GmbH's activities. This profit will be distributed between Gesundes Kinzigtal GmbH and the concerned health insurer according to an agreement made beforehand. As a for-profit company, Gesundes Kinzigtal GmbH may reinvest its profit into more preventive programmes and/or health promotion facilities or distribute a part of the profit to its shareholders (see Figure 3).

Bottom Line: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach.This, in turn, is to lead to a comparative reduction in health care cost.Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether-and to what extent-cost reduction may be attributed to a real population health gain.

View Article: PubMed Central - PubMed

Affiliation: Hamburg, Germany and CEO of Gesundes Kinzigtal GmbH, Hauptstr. 7, 77716, Haslach, Germany.

ABSTRACT

Introduction: Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal.

Description of integrated care case: Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in cooperation with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg).

Discussion and (preliminary) conclusion: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organization of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether-and to what extent-cost reduction may be attributed to a real population health gain.

No MeSH data available.


Related in: MedlinePlus