Philipp

I had no idea that this had moved so far forward.

When you say flat fee - is there differing categories within this structure (eg long vs short consultation - new referral vs follow up)?

Also when you say move to DRG funding - how would we find out a little more about the details? Via you or will it come to us via our hospital?

Thanks

Is the outpatient fee related to the up front collection of monies from the patient (i.e. copays)or a reimbursement fee based on a claims submission? The flat fee structure is dependent in part on knowing the category of physician presumably providing the service to the patient (i.e. GP, Specialist, Consultant). Prior to the service being provided (i.e. at patient arrival and registration) it may not be known which specific physician or clinician will provide the service. Patients may be assigned to a "Team" which may be comprised of any of the three physician types or may be assigned to a non-physician. What if the service provider is a non-physician as in the case of Rehab Services (Physio, OT, Speech), Prostethic Services, Nutrition Services, Cardio/Respiratory/Neuro Diagnositics Services, Nursing Clinic Services (e.g. Wound Clinics)? Who will match the service provider to the category a registration clerk, the clinical provider or claims processor?

One of my concerns about the flat fee system is the one that Rose has raised - what about the allied health services (physio/speech/occupational therapy/dietetics etc.)? Has a flat fee structure been devised for them or do they simply fall under "GP"? A lot of queries regarding pricing come from these specialities. Are they going to be included in the pilot?