Table 1 Contrasting modes of commissioning
From: How managed a market? Modes of commissioning in England and Germany
| Â | Case-mix commissioning | Surrogate planning |
|---|---|---|
Managerial Performance | Case-mix modelling + audit + subscriber marketing. | Service planning for geographical population. |
Negotiated order | Consensus, multi-stakeholder model + episode-based. | Principal-agent + micro-commissioning |
Discursive control | Emic solidarity + juridical rights + case-mix data. | Emic political authority + EBM |
Financial incentives | Fixed tariffs. | Pay for performance (defined prospectively) + ad hoc + fixed tariffs. |
Provider competition | None: referral 'framing' at most. | Competition or bilateral monopoly. |
Juridical | Comprehensive regulation + administrative law. | Unwritten constitution + common law. |