Local payment examples: multilateral gain/loss sharing: a financial mechanism to support collaborative service reform

Authors:
MONITOR, NHS ENGLAND
Publisher:
Monitor
Publication year:
2015
Pagination:
30
Place of publication:
London

Guidance for local care economies that want to design and implement gain/loss sharing arrangements to change care delivery. Across the health and care sector, there is a move towards offering better co-ordinated services through new networked and integrated models of care. The launch of the ‘NHS Five Year Forward View’ has added impetus to this trend. To support these models of integrated care, multilateral gain/loss sharing ensures multiple providers and one or more commissioners in a local care economy form a network to identify and distribute financial gains and losses. This document describes: why local commissioners and providers might want to introduce gain/loss sharing arrangements into their contracts; where gain/loss sharing fits in a broader system-change programme; and how multilateral gain/loss sharing can be locally designed by commissioners and providers. It includes examples of detailed technical designs for a gain/loss sharing arrangement. (Edited publisher abstract)

Subject terms:
integrated care, joint financing, financial management, local authorities, commissioning;
Content type:
practice guidance
Location(s):
England
Link:
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