Issues Brief

deeble We connect researchers, policy makers and practitioners to promote research that informs national health policy institute Dr Shalika Hegde, Manager, Centre for Value-based Oral Health Care, Dental Health Services Victoria. [...] Email: shalika.hegde@dhsv.org.au; Dr Rebecca Haddock, Director, Deeble Institute for Health Policy Research, Australian Healthcare and Hospitals Association. [...] 32 focusses on funding reforms that will be required to achieve value-based health care for public dental health in Australia. [...] Using Dental Health Service Victoria’s learnings from a value-based health care implementation and funding model reform, this Issues Brief draws on local and international examples that provide the rationale and evidence for funding reforms that maximise value and outcomes for patients, funders and the health system. [...] Issues Australia’s public oral healthcare system is relentlessly impacted by uncoordinated funding reforms at both the Commonwealth level and within individual jurisdictions. Such approaches to funding fail to achieve the best outcomes and value for patients, funders, payers and service providers due to: • duplication of efforts at the Commonwealth and state levels; • inefficiencies; • [...] 32: Re-orienting funding from volume to value in public dental health services 11 June 2019Deeble Institute for Health Policy Research Australian Healthcare and Hospitals Association E: deebleadmin@ahha.asn.au Re-orienting funding from volume to value in public dental health services The table below provides a review of fundin [...] An analysis of each model and how they functioned in a practice context, led to a recommendation that the Blended Funding model (no. [...] Recommendations The Australian Government Department of Health should consider: • negotiating with the states and territories to move to an agreed blended funding model comprising a risk-adjusted capitation base and value-based health outcome components to achieve a balance between health equity and overall costs. • standardising tracking of health outcomes and costs of care. [...] • developing an agreed national minimum dataset and data dictionary for oral health to enable the capture of nationally consistent and comparable outcomes data. [...] • modelling the impact of proposed funding reforms and evaluating them during and after implementation.