Primary and Additional Tariffs

As mentioned previously, each Pathway and each Currency has two Tariff prices Primary and Additional. The Additional Tariff represents the marginal cost of delivering an element of care in that currency alongside an element of care in another, more expensive currency.

In practice, this is implemented by identifying all the currencies triggered in each individual patient visit and applying the Primary Tariff of the most expensive and the Additional Tariff to all the remainder. This method prevents the double accounting of activities such as ‘Register, meet and greet’ every time a different currency is triggered in the same visit. This process is automatically implemented in the Integrated Sexual Health Grouper.