La Ribera - Departamento 11 de Salud
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Capitative payment

Annual fee of 494 € per year for each of the 245.000 inhabitants of the Health Dpt. Number 11

The private contractor receives a fixed annual sum per inhabitant for the fifteen-year duration of the contract.

The annual fee is €494 (rising in successive years in line with public health budget increase) for each of the 245,000 inhabitants of the health area.

In return, the company runs the entire health department and must offer universal access to its wide range of services.

TRANSFERRED RISK Expenses become fixed for Valencia Government. In effectively transferring financial risk from the public to the private sector, this measure helps control local spending thus making local government more transparent. The costs per inhabitant that the government pays the contractor are around 20% below average per person costs elsewhere in the Valencian Autonomous Community.


Annual fee of 494 € per year for each of the 245.000 inhabitants of the Health Dpt. Number 11

Accordingly to patient's rights of access to the hospital of their choice:

Hospital has to cover the 100% treatment costs of local people who avail of hospital facilities elsewhere. On the other hand, Hospital is paid an 80% of health services given to any other health area patients.

It could be said then that “money follows the citizen”.

Annual fee of 494 € per year for each of the 245.000 inhabitants of the Health Dpt. Number 11

Money follows the citizen entails a patient-oriented organitazion. It is of critical importance  for the organization to prevent local patients from going to other public areas by offering them the best public health service:

  • Efficient and “user friendly” medical assistanceat all leves (Hospital and Primary Care), with no barriers or “steps to climb” between different medical areas or levels
  • Sophisticated diagnostic and therapeutic care in most specialties and subspecialties of medicine and surgery
  • Modern buildings and hi-tech facilities supported by a shared WAN for the entire Department
  • No waiting lists (mean surgical waiting time: 40 days and wide timetables, from 8 a.m. to 10 pm.
  • Quality: Hospital de La Ribera has been named the “Best Spanish Large General Hospital” in the 2000, 2001 and 2002.
 
 
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