By NextBestFitRun the Hospital Transition Fund
Years 1–5 · UHA regional officesDiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | Hospitals whose revenue falls more than 5% below baseline when commercial rates disappear receive temporary support that tapers to zero by Year 6, conditioned on cost-reduction plans. | ||
| Germany | Hospital Structure Fund (2016+) pays to close or convert excess hospital capacity; 2024 hospital reform adds transition funding. | Gradual consolidation of an over-bedded system. | Transition money works best when tied to restructuring. |
| Taiwan | No dedicated fund; hospitals adapted to global budgets through volume and cost cutting. | Smaller hospitals consolidated; staffing strain. | Without transition support, adjustment falls on staff. |
Germany
- What they did
- Hospital Structure Fund (2016+) pays to close or convert excess hospital capacity; 2024 hospital reform adds transition funding.
- What happened
- Gradual consolidation of an over-bedded system.
- Lesson for this plan
- Transition money works best when tied to restructuring.
Taiwan
- What they did
- No dedicated fund; hospitals adapted to global budgets through volume and cost cutting.
- What happened
- Smaller hospitals consolidated; staffing strain.
- Lesson for this plan
- Without transition support, adjustment falls on staff.
More precedent
- Medicare's 'hold harmless' payments during the outpatient PPS transition (2000s).