Costing · Health
Costing the Transition of the Health Package
A stated saving is not a net saving until retained functions and transition costs are deducted.
Base formula
N = G − T − R − shifted costs. Time or capacity gains must be reported separately when they do not produce an observable budget reduction.
Eight-measure matrix
| Measure | Gross effect stated in Plan | Initial transition costs | Recurring costs | Quality indicator | Status |
|---|---|---|---|---|---|
| 5.01 | €3.5bn/year | Workforce mapping; training; systems | Retained admin functions; care posts | Time at bedside; safety | To be reviewed |
| 5.02 | €2.8bn/year | Integration; devices; training; testing | Hosting; maintenance; audit | Error and omission rate | To be reviewed |
| 5.03 | €1.2bn/year | Rules; data matching; appeals | Controls; litigation | Out-of-pocket cost | To be reviewed |
| 5.04 | Structural | Measurement; interfaces; procedure | Monitoring; public directory | Real waiting time | To be reviewed |
| 5.05 | €180–350m net/year | Transfers; IT migration; legal transition | Territorial services retained | Authorisation and crisis delays | To be reviewed |
| 5.06 | Structural safeguard | Certification transitions; migration | Certification; security; audit | Incidents and recovery | Continuous |
| 5.07 | Structural | Clinical studies; procurement; integration | Monitoring; maintenance | Sensitivity; specificity; outcomes | To be reviewed |
| 5.08 | Structural | Negotiation; data; information | Controls; appeals | Access and supply | To be reviewed |