All reports

KCE Reports 392C (2024)Coping with the increasing diversity of hospital care needs requires a reform of the hospital financing system. The idea would be to replace the current closed-budget system by an open-budget system, where hospitals receive a lump sum per admission linked to a specific condition or APR-DRG (All Patient Refined Diagnosis Related Group). However, such a system would also require control mechanisms to keep the national budget under control.

KCE Reports 380C (2024) In the future, hospital funding should evolve towards a system where each establishment receives a lump sum based on the severity of patients’ pathology, which will cover all care-related costs. Such lump sums will be calculated based on actual costs. However, in addition to direct operating costs (e.g. those relating to staffing levels or medical equipment), this calculation will also have to take into account so-called indirect costs (e.g. maintenance costs of the premises, administrative staff costs).

KCE Reports 302C (2018)Hospital financial reform stipulates that hospital stays be divided into three “clusters” based on the variability of care, with each cluster benefiting from a different form of financing.