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Healthcare Financing Design: from Volume to Value


Dozent/in Dr. sc. Kathryn Ann Dawson-Townsend; Lukas Kauer, PhD
Veranstaltungsart Seminar
Code HS251107
Semester Herbstsemester 2025
Durchführender Fachbereich Gesundheitswissenschaften
Studienstufe Master
Termin/e Fr, 19.09.2025, 12:30 - 16:00 Uhr, HS 7
Fr, 26.09.2025, 12:30 - 16:00 Uhr, HS 7
Fr, 03.10.2025, 12:30 - 16:00 Uhr, HS 7
Mi, 19.11.2025, 08:30 - 12:00 Uhr, 3.B58
Mi, 26.11.2025, 08:30 - 12:00 Uhr, 3.B58
Mi, 03.12.2025, 08:30 - 12:00 Uhr, 3.B58
Umfang 2 Semesterwochenstunden
Inhalt All relevant payment models in healthcare financing for providers, insurers, and patients are presented and reviewed. The course also includes an overview of the Swiss context. The first three sessions (weeks 1-3) will include theory and inputs from the lecturers and the three final sessions (weeks 10-12) will be presentations from students (groups of 3).

Students will present a case study of an innovative payment model found in another country outside of Switzerland (what it is, when implemented, what are the goals, why implemented [what was prior payment model, etc.], results/outcomes) and also present how this type of model could be implemented in Switzerland (or another country, pending approval by the lecturers). The presentation will include what facilitators exist and what barriers would need to be overcome for successful implementation. Students will be graded based on their group presentation (40%), writing a peer review of someone else’s presentation (10%) and a final group paper (50%).

Week 1: Introduction to the course and the Swiss Context
Week 2: FFS, Capitation Models, Premium Design, Risk Adjustment
Week 3: P4P, VBHC, Innovations in plan design
Week 10: Three group presentations
Week 11: Three group presentations
Week 12: Two-three group presentations & semester review
Lernziele Continued cost pressures on all areas of healthcare delivery (inpatient, outpatient, pharmaceuticals) call into question how healthcare payment can be used to bring new incentives into the delivery of care and related payment mechanisms. Recent innovative payment models have caught the attention of policy makers with promising results. These results may be related to the specific healthcare system they were developed in and/or the positive selection (bias) of providers and/or consumers.

The main learning outcome of this course is to assess innovative payment models from different contexts and identify crucial barriers and facilitators that would need to be considered before a proposed implementation in the Swiss market.

Students will be able to explain:
• various models of healthcare payment: Fee-for-service, capitation, pay for performance, value-based health care, premium design, risk adjustment, innovations in managed care design)
• for each model, their pros and cons, evidence of their impact
Sprache Englisch
Begrenzung This course is limited to 24 participants. The limitation will be administered via MOODLE according to chronological order of the registrations. From September 1, 2025 (noon) on it will be possible to register via MOODLE. As soon as 24 participants have registered, the registration window will close automatically. If the course is already full and you would like to be put on the waiting list, please send an email to the lecturers to ask to be put on the wait list. Priority will be given to students of the Master in Health Sciences and students who completed classes in health economics.
Anmeldung https://elearning.hsm-unilu.ch/course/view.php?id=932
Leistungsnachweis • group presentation (40%)
• group paper (50%)
• peer review (10%)

WICHTIG: Um Credits zu erwerben und an der Prüfung teilzunehmen, ist eine Anmeldung über Uni Portal innerhalb der Prüfungsanmeldefrist ZWINGEND erforderlich. Weitere Informationen: www.unilu.ch/studium/lehrveranstaltungen-pruefungen-reglemente/gmf/pruefungen/
Abschlussform / Credits Group paper and presentation, peer review / 3 Credits
Hinweise Teaching methods:
• Lecture slides
• Seminar discussions
• In-class presentations
• Guest speaker(s)
Hörer-/innen Nein
Kontakt kathryn.dawson@unilu.ch / lukas.kauer@unilu.ch
Material All material will be provided via Moodle