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Author : Diana N. Kimani
Publisher :
ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.F/5 ( download)
Download or read book Healthcare Financing Through Health Insurance in Kenya written by Diana N. Kimani and published by . This book was released on 2004 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264280405
Total Pages : 216 pages
Book Rating : 4.2/5 (642 download)
Download or read book Health at a Glance 2017 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2017-11-10 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of Health at a Glance presents the most recent comparable data on the health status of populations and health system performance in OECD countries.
Author : Sarah Thomson
Publisher : Cambridge University Press
ISBN 13 : 1108901166
Total Pages : 593 pages
Book Rating : 4.1/5 (89 download)
Download or read book Private Health Insurance written by Sarah Thomson and published by Cambridge University Press. This book was released on 2020-10-01 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Can private health insurance fill gaps in publicly financed coverage? Does it enhance access to health care or improve efficiency in health service delivery? Will it provide fiscal relief for governments struggling to raise public revenue for health? This book examines the successes, failures and challenges of private health insurance globally through country case studies written by leading national experts. Each case study considers the role of history and politics in shaping private health insurance and determining its impact on health system performance. Despite great diversity in the size and functioning of markets for private health insurance, the book identifies clear patterns across countries, drawing out valuable lessons for policymakers while showing how history and politics have proved a persistent barrier to effective public policy. This title is also available as Open Access on Cambridge Core.
Author : Huihui Wang
Publisher : World Bank Publications
ISBN 13 : 1464811180
Total Pages : 68 pages
Book Rating : 4.4/5 (648 download)
Download or read book Ghana National Health Insurance Scheme written by Huihui Wang and published by World Bank Publications. This book was released on 2017-08-14 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country’s commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies. The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers’ abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention.
Author : Guy Carrin
Publisher : ASP / VUBPRESS / UPA
ISBN 13 : 9054877758
Total Pages : 463 pages
Book Rating : 4.0/5 (548 download)
Download or read book Health Financing in the Developing World written by Guy Carrin and published by ASP / VUBPRESS / UPA. This book was released on 2011 with total page 463 pages. Available in PDF, EPUB and Kindle. Book excerpt: A collection of peer-reviewed articles and contributions to books, this overview of the finance of health insurance concentrates on developing countries. The material covers various financing strategies and explains how each can--or cannot--help improve the transition toward universal coverage. The model plans shown here are particularly useful for policy-makers and technical advisers who have to decide upon health financing policies--or are engaged in a debate about them--and the sample forms can be adjusted to the particular economic and political context of the developing countries involved. In addition, there are reminders that this process varies: in some countries, universal coverage may take time and require a step-by-step approach. In other developing countries, a swift transition to universal coverage may be quite feasible.
Author : George Schieber
Publisher : World Bank Publications
ISBN 13 : 082139567X
Total Pages : 196 pages
Book Rating : 4.8/5 (213 download)
Download or read book Health Financing in Ghana written by George Schieber and published by World Bank Publications. This book was released on 2012-08-30 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume analyzes Ghana s National Health Insurance Scheme and highlights the range of policy options needed to assure its financially sustainable transition to universal coverage.
Author : R. Paul Shaw
Publisher : Washington, D.C. : World Bank, c1995 (1996 printing)
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.F/5 ( download)
Download or read book Financing Health Services Through User Fees and Insurance written by R. Paul Shaw and published by Washington, D.C. : World Bank, c1995 (1996 printing). This book was released on 1995 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Bank Discussion Paper No. 294. Presents case studies that focus on user fees and self-financing health insurance as a means of contributing to efficiency, equity, and sustainable financing in the health sector. User fees are emphasized as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total expenditures in Africa. Evidence presented in this report suggests that self-financing insurance is more prevalent in many countries than had been previously thought.
Author : Mihajlo (Michael) Jakovljevic
Publisher : Frontiers Media SA
ISBN 13 : 2889743047
Total Pages : 101 pages
Book Rating : 4.8/5 (897 download)
Download or read book Health Financing and Spending in Low- and Middle-Income Countries written by Mihajlo (Michael) Jakovljevic and published by Frontiers Media SA. This book was released on 2022-02-09 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Alexander S. Preker
Publisher : World Bank Publications
ISBN 13 : 0821385798
Total Pages : 778 pages
Book Rating : 4.8/5 (213 download)
Download or read book Scaling Up Affordable Health Insurance written by Alexander S. Preker and published by World Bank Publications. This book was released on 2013-05-31 with total page 778 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.
Author : Dominic Haazen
Publisher : World Bank Publications
ISBN 13 : 0821394738
Total Pages : 117 pages
Book Rating : 4.8/5 (213 download)
Download or read book Making Health Financing Work for Poor People in Tanzania written by Dominic Haazen and published by World Bank Publications. This book was released on 2012-02-13 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tanzania is currently developing a Health Financing Strategy to provide a medium to long-term road map for a sustainable and integrated health financing system. This book is designed to inform this discussion by providing an analytical basis for the discussion of options, a series of policy options which could be considered in moving forward, and the economic and financial implications of these options. In doing so, it is hoped that this book will help stimulate the discussion of options and help Tanzania develop a health financing strategy which meets its long-term needs. Health financing in Tanzania is currently highly fragmented, with many different sources of funds and programs directed at specific population groups. Despite this, many people still do not access health services because of financial barriers, and this burden falls disproportionately on the poor. This book looks at the current situation with respect to health financing as well as the experience in other countries to address health financing for the poor and the population generally, using a common analytical framework. The book then explores a number of options in the areas of revenue generation, pooling of funds, purchasing and service provision, and also looks at the regulatory and political environment, making specific recommendations which can be considered in each of these areas. The focus of these recommendations is particularly on improving financial health protection for the poor. The economic, financial and service delivery implications are then examined, using several different scenarios for extending pre-paid health insurance coverage to the population. Making Health Financing Work for the Poor in Tanzania will be of interest to readers working in the areas of health care and public health, social protection, and social analysis and policy, in Tanzania and in other countries aiming for improvements in their health financing systems.
Author : R. Paul Shaw
Publisher : World Bank Publications
ISBN 13 : 0821369504
Total Pages : 188 pages
Book Rating : 4.8/5 (213 download)
Download or read book Social Health Insurance for Developing Nations written by R. Paul Shaw and published by World Bank Publications. This book was released on 2007-01-01 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.
Author : George Schieber
Publisher : World Bank Publications
ISBN 13 : 0821395661
Total Pages : 197 pages
Book Rating : 4.8/5 (213 download)
Download or read book Health Financing in Ghana written by George Schieber and published by World Bank Publications. This book was released on 2012-08-14 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ghana is one of only several African countries to enact legislation and earmark financing for universal health insurance coverage for its entire population. Seven years into its implementation the Ghana National Health Insurance Scheme (NHIS) has made significant progress in transitioning to universal coverage, but faces significant fiscal and coverage challenges. This study reviews Ghana's health financing system with a special emphasis on its National Health Insurance Scheme. Such an assessment is important because Ghana is often considered a global 'good practice' in terms of earmarking significant amounts of its general revenues for health insurance coverage, providing formal coverage to its vulnerable population groups, and extending coverage by transitioning its existing community health insurance schemes into a national health insurance program. In addition to the global interest in the Ghana 'model', this review is timely in view of recent critiques of the system and questions about its financial sustainability. The study is also unique in terms of evaluating Ghana's NHIS in terms of basic health system goals of health outcomes, financial protection, consumer satisfaction, equity, efficiency, and financial sustainability. The strengths and weaknesses of Ghana's health financing system are assessed on the basis of these performance goals to provide the current health policy reform baseline. The assessment is also based on several new and updated sources of information on: total health spending, inputs, outcomes, household spending, and the macro economy. It also undertakes for the first time an extensive international benchmarking analysis; assesses the financial protection/equity of the system at both macro and micro levels; and, contains an extensive fiscal space analysis based on Ghana's new macroeconomic realities (i.e., the revaluation of Ghana's Gross Domestic Product (GDP) upward by some 60 percent in November 2010, making Ghana a lower middle income country). The study concludes with an assessment of potential structural and operational reform options to assure NHISs long-term efficacy and sustainability in the context of its future available fiscal space.
Author : Maria-Luisa Escobar
Publisher : Brookings Institution Press
ISBN 13 : 0815705468
Total Pages : 239 pages
Book Rating : 4.8/5 (157 download)
Download or read book Impact of Health Insurance in Low- and Middle-income Countries written by Maria-Luisa Escobar and published by Brookings Institution Press. This book was released on 2010 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Author :
Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (243 download)
Download or read book Health Care Financing Review written by and published by . This book was released on 2002 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Hong Wang
Publisher : World Bank Publications
ISBN 13 : 0821389823
Total Pages : 141 pages
Book Rating : 4.8/5 (213 download)
Download or read book Health Insurance Handbook written by Hong Wang and published by World Bank Publications. This book was released on 2012-01-18 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well to provide financial risk protection. In Africa, several countries have already spent scarce time, money, and effort on health insurance initiatives. Ethiopia, Ghana, Kenya, Nigeria, Rwanda, and Tanzania are just a few of them. However, many of these schemes, both public and private, cover only a small proportion of the population, with the poor less likely to be covered. In fact, unless carefully designed to be pro-poor, health insurance can widen inequity as higher income groups are more likely to be insured and use health care services, taking advantage of their insurance coverage. Despite the many benefits that health insurance may offer, table 1.1 shows that the journey to implement insurance and achieve the benefits is challenging, long, and risky. Policy makers and technicians that support development and scale-up of health insurance must figure out how to increase their country''s financing capacity, extend health insurance coverage to the hard-to-reach populations, expand benefits packages, and improve the performance of existing schemes.
Author : Jeff Barnes
Publisher : World Bank Publications
ISBN 13 : 9780821383636
Total Pages : 186 pages
Book Rating : 4.3/5 (836 download)
Download or read book Private Health Sector Assessment in Kenya written by Jeff Barnes and published by World Bank Publications. This book was released on 2010-06-07 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper broadly examines the health sector in Kenya, by synthesizing an assessment of the health sector with an analysis of the market. After considering the legal and regulatory framework, the policy enforcement, the human resource capacity, and the financing of health systems, the paper makes recommendations for policy makers.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
