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Author : Enos Hudson Nthia Njeru
Publisher :
ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.F/5 ( download)
Download or read book Social Health Insurance Scheme for All Kenyans written by Enos Hudson Nthia Njeru and published by . This book was released on 2004 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 : 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 : Huihui Wang
Publisher : World Bank Publications
ISBN 13 : 1464811180
Total Pages : 101 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 101 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 : Lisa-Marie Ouedraogo
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (982 download)
Download or read book Approaching Universal Health Coverage in Kenya written by Lisa-Marie Ouedraogo and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Lisa-Marie Ouedraogo
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (982 download)
Download or read book Approaching Universal Health Coverage in Kenya written by Lisa-Marie Ouedraogo and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241564024
Total Pages : 132 pages
Book Rating : 4.2/5 (415 download)
Download or read book Health Systems Financing written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This World Health Report was produced under the overall direction of Carissa Etienne ... and Anarfi Asamoa Baah ... The principal writers were David B. Evans ... [et al] -- t.p. verso.
Author : Abel David Muniu Njuguna
Publisher :
ISBN 13 :
Total Pages : 248 pages
Book Rating : 4.:/5 (826 download)
Download or read book A Study of the Proposed 2004 Social Health Insurance Scheme in Kenya written by Abel David Muniu Njuguna and published by . This book was released on 2005 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 : Alexander S. Preker
Publisher : World Bank Publications
ISBN 13 : 0821385798
Total Pages : 894 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 894 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 : Daniel Cotlear
Publisher : World Bank Publications
ISBN 13 : 146480611X
Total Pages : 289 pages
Book Rating : 4.4/5 (648 download)
Download or read book Going Universal written by Daniel Cotlear and published by World Bank Publications. This book was released on 2015-09-28 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.
Author : Hong Wang
Publisher : World Bank Publications
ISBN 13 : 082138953X
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.
Author : Ricardo A. Bitran
Publisher : World Bank Publications
ISBN 13 : 0821387472
Total Pages : 152 pages
Book Rating : 4.8/5 (213 download)
Download or read book Private Health Sector Assessment in Ghana written by Ricardo A. Bitran and published by World Bank Publications. This book was released on 2011-01-01 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Private Health Sector Assessment in Ghana is part of the World Bank Working Paper series. These papers are published to communicate the results of the Bank?s ongoing research and to stimulate public discussion. The private health sector in Ghana is a large and important sector in the market for health-related goods and services. However, little has been documented concerning the size and configuration of private providers and their contribution to health sector outcomes. With better information about the size, scope, distribution, and constraints of private actors, Ghana?s public policy makers
Author : Jeff Barnes
Publisher : World Bank Publications
ISBN 13 : 0821383639
Total Pages : 190 pages
Book Rating : 4.8/5 (213 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 190 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 : Jack Langenbrunner
Publisher : World Bank Publications
ISBN 13 : 0821378244
Total Pages : 348 pages
Book Rating : 4.8/5 (213 download)
Download or read book Designing and Implementing Health Care Provider Payment Systems written by Jack Langenbrunner and published by World Bank Publications. This book was released on 2009-01-01 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.
Author : Xenia Scheil-Adlung
Publisher :
ISBN 13 : 9789221185628
Total Pages : 22 pages
Book Rating : 4.1/5 (856 download)
Download or read book What is the Impact of Social Health Protection on Access to Health Care, Health Expenditure and Impoverishment? written by Xenia Scheil-Adlung and published by . This book was released on 2006 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: Summarizes the results of three individual research projects measuring the impact of membership in a health insurance scheme in Kenya, Senegal and South Africa.
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.
