Healthcare Regulation

Region: EMEA

Context

Inconsistent tariff-setting across providers; lack of standardized, transparent costing model; tariff negotiations prone to disputes; inability to benchmark provider efficiency or enforce accountability; hampered fair pricing and sustainable funding.

Approach

Developed comprehensive standardized costing model transparent and defensible across diverse providers; scalable and adaptable to various provider types/services; incorporated input cost data, activity volumes, quality metrics; engaged stakeholders extensively to address concerns and secure buy-in; illustrated rationale behind tariff decisions.

Success story

Fostered trust and cooperation between regulator and providers; reduced pricing disputes; consistent benchmarking; enabled performance comparisons driving efficiency improvements; motivated providers to optimize service costs; regulator better equipped to manage budgets sustainably and transparently.