Phase 1: Enactment & build · Step 1.8

Set hospital global budgets

Months 6–18; annual negotiation thereafter · UHA regional offices; Payment Rates BoardDiscuss this step

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Task 1.8.4 of 7

Withhold 2% of the budget for quality performance: readmissions, hospital-acquired infections, patient experience, and wait times.

Who does it

UHA

When

Month 12

Trade-off

A quality withhold rewards good outcomes but penalizes hospitals serving sicker, poorer populations.

Part of: Set hospital global budgets

Each hospital gets an annual operating budget covering all UHP patients, negotiated with its regional office. In aggregate, hospital spending goes from $1.63T to $1.62T (price effect −$69.9B, utilization +$51.5B).

This step changes 7 existing laws, programs, or institutions. See the list.