LAMal models: understand the care pathway before choosing

Compare pathways, not names

Set written rules against channels that are actually accessible.

1. 1

   First contact

   Start with the relevant document or need. Check who must be contacted first and which exceptions the documents describe.

2. 2

   Network and access

   Compare only like-for-like items. Check providers and channels for the location without sending medical information to the comparator.

3. 3

   Departure from the pathway

   Ask for written confirmation when the actual case requires a decision. Ask in writing how a departure is handled; do not invent a penalty or continued benefit.

4. 4

   Keep evidence

   Archive documents, versions, dated dispatches and replies. A tool or comparison request does not suspend a deadline stated in a decision or contract.