Payment arrangements

The establishment of new models of care requires the development of new forms of pricing of services and probably some form of capitated budgets. Some good progress has already been made in a number of Pioneer and other sites with input from Monitor on planning capitated budgets, but we now need to move to implementation of these approaches.

This will need to include development of incentive payments/penalties and risk sharing between commissioner and provider.

The Pioneer Programme:

  • Is working with the local commissioners and providers in the new models of care test bed sites and in any of the other pioneers at an appropriate state of readiness to agree and implement new pricing and capitated budget approaches in shadow form
  • Will develop practical toolkits for other parts of the country to use.