Which hospital financing system can better reach the healthcare system’s objectives of performance, equity and quality? This KCE report studies an all-in case based hospital financing system and its feasibility in Belgium where the system is said partial and fragmentary. After a presentation of the structure of the Belgian hospital sector and the characteristics of its financing system, this report uses some models to analyze the consequences of such a reform on the hospital revenue structure, the relationship between hospital management and providers of healthcare, and the quality and accessibility to healthcare.