Performance of Reimbursement Schemes in Valuation of Technologies: The Example of Magnetic Resonance Imaging

Technology and Health Care, Vol. 16, No. 3, pp. 171-182, 2008

Posted: 26 Mar 2010 Last revised: 20 Aug 2010

See all articles by Carl Rudolf Blankart

Carl Rudolf Blankart

Universität Hamburg

Reinhard Busse

Technische Universität Berlin (TU Berlin)

Jonas Schreyoegg

University of Hamburg - Faculty of Economics and Business Administration

Date Written: 2008

Abstract

Different reimbursement schemes for health care providers have been developed worldwide. They have evolved over time and have been influenced by politics, costs, patient needs and technological progress. Different methods in the valuation of technologies and their reflection in outpatient reimbursement schemes are analyzed. Using Magnetic Resonance Imaging (MRI) as an example, five different reimbursement schemes from four countries are compared according to defined performance criteria. Major differences in the structure and valuation of internationally used reimbursement schemes are presented; Prices for Neurocranium MRI scans vary from euro98 to euro462 and large discrepancies can even be found within the same country. There are politically driven reimbursement schemes like the German Gebührenordnung für 'A'rzte, while others such as the Swiss TARMED are primarily based on actual costs.

Suggested Citation

Blankart, Rudolf and Busse, Reinhard and Schreyoegg, Jonas, Performance of Reimbursement Schemes in Valuation of Technologies: The Example of Magnetic Resonance Imaging (2008). Technology and Health Care, Vol. 16, No. 3, pp. 171-182, 2008. Available at SSRN: https://ssrn.com/abstract=1574129

Rudolf Blankart

Universität Hamburg ( email )

Esplanade 36
Hamburg, 20354
Germany

Reinhard Busse

Technische Universität Berlin (TU Berlin) ( email )

Straße des 17
Juni 135
Berlin, 10623
Germany

Jonas Schreyoegg (Contact Author)

University of Hamburg - Faculty of Economics and Business Administration ( email )

Von-Melle-Park 5
Hamburg, 20146
Germany

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