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Financing Health Services Through User Fees and Insurance

Financing Health Services Through User Fees and Insurance
Author: R. Paul Shaw
Publisher: Washington, D.C. : World Bank, c1995 (1996 printing)
Total Pages: 268
Release: 1995
Genre: Business & Economics
ISBN:

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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.


The Oxford Handbook of Health Economics

The Oxford Handbook of Health Economics
Author: Sherry Glied
Publisher: OUP Oxford
Total Pages: 992
Release: 2013-05-23
Genre: Business & Economics
ISBN: 0191667161

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The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline. Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.


Punishing the Poor? A Look at Evidence and Action Regarding User Fees in Health Care

Punishing the Poor? A Look at Evidence and Action Regarding User Fees in Health Care
Author: Kurian, Oommen C.
Publisher: Centre for Enquiry into Health and Allied Themes
Total Pages: 14
Release: 2011-06-01
Genre: Medical
ISBN:

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“There’s now just overwhelming evidence that those user fees actually worsened health outcomes. There’s no question about it. So did the bank get it wrong before? Yeah. I think the bank was ideological” - Dr Jim Yong Kim, World Bank Head. (2014) User fees for health care were put forward as a way to recover costs and discourage the excessive use of health services and the over- consumption of care. This did not happen. Instead, user fees punished the poor. -Dr. Margaret Chan, Director-General, WHO. (2009) The history of user fees imposed on the poor is a history of the poor being excluded from basic services. – Jeffrey Sachs, Director, Earth Institute, End of Poverty (2005) Pricing helps reduce excessive or unwarranted demand for a service and brings supply capacity more in line with willingness and ability to pay. Put differently, when a service costs money, people will think twice about demanding it. - World Bank, Financing health care in sub-Saharan Africa through user fees and insurance. (1995)


Benefit design: the perspective from health financing policy

Benefit design: the perspective from health financing policy
Author:
Publisher: World Health Organization
Total Pages: 24
Release: 2022-03-15
Genre: Health & Fitness
ISBN: 9240045082

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Given the central importance of public financing to make progress towards universal health coverage (UHC), government policy on benefit design, including both service entitlements and conditions of access, significantly influences health system performance. Benefit design considers how all public funds are used and should be based on evidence and developed through a systematic process involving key stakeholders. Reducing uncertainty over entitlements and conditions of access, in particular co-payments, both reduces barriers to accessing services and improves financial protection. Finally, aligning benefit design with a range of health financing policies, as well as service with delivery objectives, provides a powerful way through which policy makers can drive positive change in their health systems.


Financing Health Services in Developing Countries

Financing Health Services in Developing Countries
Author: John S. Akin
Publisher: World Bank Publications
Total Pages: 104
Release: 1987-01-01
Genre: Business & Economics
ISBN: 9780821309001

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This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.


Health Financing Revisited

Health Financing Revisited
Author: Pablo Enrique Gottret
Publisher: World Bank Publications
Total Pages: 340
Release: 2006-01-01
Genre: Medical
ISBN: 082136586X

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This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.


Serious and Unstable Condition

Serious and Unstable Condition
Author: Henry Aaron
Publisher: Brookings Institution Press
Total Pages: 175
Release: 2010-12-01
Genre: Business & Economics
ISBN: 0815721145

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The United States spends more on health care than any other nation in the world, yet millions of Americans cannot afford basic care for acute illnesses, few are insured against the costs of long-term care, and many frequently used medical procedures have never been fully evaluated. The goals of controlling spiraling health care costs and extending insurance coverage or even maintaining current insurance coverage seem to be in conflict. But progress can be made on both goals if they are tacked together. Henry Aaron evaluates these critical issues and explores how adequate care can be provided without fueling inflation. Because the current arrangements for financing America's health care cannot endure, Aaron contends that a major national debate on the restructuring of the U.S. system of financing health care is inescapable, and major legislation is likely. Serious and Unstable Condition offers a guide that is crucial to understanding the reform debate. It explains the important economic issues of health care as a background for evaluating both the current system and proposals for change. Aaron compares the U.S. system of health care financing with certain foreign systems and reviews major options for reform. He cautions that unless the health insurance system is radically changed, the number of uninsured will continue to increase and costs will continue to escalate. He then offers his own comprehensive plan to address these problems.


Crossing the Global Quality Chasm

Crossing the Global Quality Chasm
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 399
Release: 2019-01-27
Genre: Medical
ISBN: 0309477891

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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.


Health Financing

Health Financing
Author: WHO Regional Office for the Western Pacific
Publisher: WHO
Total Pages: 64
Release: 2006
Genre: Medical
ISBN:

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This publication reviews the main issues relating to health economics and financing, and is divided into five sections: i) key health and development issues; ii) health care financing including the public-private mix, privatisation, the role of governments as purchasers of health services, and financing alternatives such as tax-based financing, external funding, financing through efficiency gains and user charges; iii) health insurance concepts and issues, such as private insurance, medical savings accounts, social health insurance and provider payment options; iv) resource allocation and prioritisation; and v) national health accounts (NHAs).


Evaluation of Recent Changes in the Financing of Health Services

Evaluation of Recent Changes in the Financing of Health Services
Author: WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services
Publisher:
Total Pages: 92
Release: 1993
Genre: Medical
ISBN:

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"During the past decade, fundamental developments have occurred in the financing of health services, coinciding with economic, political and social changes in many parts of the world. The role of government in the funding and provision of health care is being reconsidered, often with far-reaching consequences for the relation between health care providers and consumers, access to health facilities, and the health status of populations. This report presents the conclusions and recommendations of a WHO Study Group that met to review recent changes in health financing and to evaluate their effects on the provision and utilization of health services. Drawing on specific examples from both developing and developed countries, the report identifies trends in sources of finance, payment mechanisms, and the roles of health care consumers, purchasers and providers, and emphasizes that too little is known about the impact of these changes on health status. In discussing the implications of recent developments, the Study Group stresses the responsibilities of governments in policy-making, regulation, and information gathering and dissemination, and the need to evaluate options for health financing in the context of national policy objectives, with the ultimate aim of improving the performance of health systems."--