How can the reform of the activity-based payment system (T2A) help in financing innovative health products?

In France, the short-stay activities of public and private sector healthcare facilities have been financed since 2004 by activity-based pricing (T2A). The principle is to allow for payment determined primarily by the nature and volume of activities. T2A has enabled a major transformation compared to the old financing system, chiefly for public sector facilities that used to operate under a general allocation, and convergence between payment methods in the public and private sectors. However, official reports and public pronouncements by many hospital healthcare stakeholders have also highlighted the limits of this method of financing, leading to several reform projects. With that in mind, round table 3 of the Giens Workshops, including experts from academia and/or hospitals, institutions, and industry, questioned the impact of the new T2A reforms on access to innovative health care products in hospitals. After scoping out the issue and drawing up observations, the round table proposed six general recommendations that would be avenues for improving access to innovative health care products for hospital service users.

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Publication Details

Journal
Therapies
Published
2024-12-04
DOI
https://doi.org/10.1016/j.therap.2024.10.063
Citations
2
Primary Topic
Health Systems, Economic Evaluations, Quality of Life
Type
article
Field-Weighted Citation Impact
2.26
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article

How can the reform of the activity-based payment system (T2A) help in financing innovative health products?

Anne Grumblat, Anne-Aurélie Épis de Fleurian, Xavier Armoiry, Tess Martin et al.
2 citations
Therapies
Health Systems, Economic Evaluations, Quality of Life
2.26
article

How can the reform of the activity-based payment system (T2A) help in financing innovative health products?

Anne Grumblat, Anne-Aurélie Épis de Fleurian, Xavier Armoiry, Tess Martin, Isabelle Durand‐Zaleski, Nejma Saidani, Albane Degrassat-Théas, Dorothée Camus, Aurélie Lavorel, Valéry-Pierre Riche, Mégane Lesaignoux, Adrien Michaud, Jonathan Morizot, Nathalie Préaubert, Martine Aoustin, Auriane Cano-Chancel, Sophie Carlier
article en
2 citations

Abstract

In France, the short-stay activities of public and private sector healthcare facilities have been financed since 2004 by activity-based pricing (T2A). The principle is to allow for payment determined primarily by the nature and volume of activities. T2A has enabled a major transformation compared to the old financing system, chiefly for public sector facilities that used to operate under a general allocation, and convergence between payment methods in the public and private sectors. However, official reports and public pronouncements by many hospital healthcare stakeholders have also highlighted the limits of this method of financing, leading to several reform projects. With that in mind, round table 3 of the Giens Workshops, including experts from academia and/or hospitals, institutions, and industry, questioned the impact of the new T2A reforms on access to innovative health care products in hospitals. After scoping out the issue and drawing up observations, the round table proposed six general recommendations that would be avenues for improving access to innovative health care products for hospital service users.

TherapiesVol. 80(1)
Université Claude Bernard Lyon 1 (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Université de Lyon (FR), Université Paris Cité (FR), Boston Scientific (United States) (US), Centre Hospitalier Universitaire de Besançon (FR), Université Sorbonne Paris Nord (FR), Sorbonne Paris Cité (FR), Assistance Publique – Hôpitaux de Paris (FR), Hospices Civils de Lyon (FR), Hôpital Européen Georges-Pompidou (FR), Agence des Systèmes d’information Partagés de Santé (FR), Hôpital Européen (FR), Association pour la Recherche en Physiologie de l’Environnement (FR), AstraZeneca (France) (FR), Zydus Lifesciences Limited (India) (IN), Laboratoire Vision Action Cognition (FR), Siemens (France) (FR), Medtronic (France) (FR), Agence Régionale de Santé Ile-de-France (FR), Siemens Healthcare (United States) (US), Centre de Recherche Épidémiologie et Statistique (FR), Nantes Université (FR)
Decent work and economic growth
Openalex Percentile: Top 7%
Health Systems, Economic Evaluations, Quality of Life
2.26
DOIOpen Access PDFOpenAlex
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