Primary health care (PHC) is recognized as the cornerstone of resilient health systems, yet financing it remains a persistent challenge in many parts of the world. In Southeast Asia, countries continue to prioritize PHC in policy commitments, but questions remain...

Value-based care seen as key to transforming Asia’s health systems
A new Actuary article highlights how value-based care could reshape healthcare in Asia, improving outcomes, lowering costs, and addressing challenges from ageing populations to rural gaps. Healthcare systems across Asia are under increasing strain from demographic...

Peak private hospital body alleges health insurers ‘misusing market power’ in Australia
Australia’s private hospitals allege major insurers use unfair contract practices that hurt patient care and threaten hospital viability; insurers deny wrongdoing. Government is considering regulatory action as tensions disrupt private healthcare sector. Australia’s...
Framework Document on Performance-Based Financing in Senegal
In October 2024, the Direction de la Planification de la Recherche et des Statistiques Cellule Économie de la Santé of Senegal's Ministry of Health and Social Action published a framework document on performance-based financing.

Belgian reform package targets excessive medical fees
Belgium’s summer agreement reforms healthcare by limiting excessive doctor surcharges, ensuring fair billing and equal reimbursements, curbing pharmaceutical overspending, and promoting sustainable care while preserving provider autonomy. This marks a historic step...
Reconfiguring health purchasing for universal health coverage: insights from Nepal with relevance to low- and middle-income countries
Nepal's shift to federalism and the National Health Insurance Program (NHIP) aimed for universal health coverage, but persistent structural flaws undermine strategic purchasing and system efficiency. The Ministry of Health and Population’s conflicting roles as...
How can innovative financing options support health system financing for noncommunicable diseases in low- and middle-income countries?
As noncommunicable diseases (NCDs) place increasing strain on health systems in low- and middle-income countries, the need for sustainable financing solutions is more urgent than ever. With development assistance stagnating and domestic budgets stretched thin,...

Nigeria’s FEC approves health financing policy through Medipool
The Federal Executive Council of Nigeria approved the establishment of Medipool, a purchasing organization designed to lower healthcare costs by negotiating competitive prices for essential medicines and healthcare products, thereby improving access to quality...

Price increases at clinics fuel Korea’s health insurance expenditure growth
A report by the Korea Development Institute reveals that rising health insurance spending in Korea is primarily driven by increasing prices at clinics and outpatient services, leading to concerns about the system's sustainability. A recent report from the Korea...
Analysing global immunisation expenditure
The Office of Health Economics (OHE) published the research paper "Analysing Global Immunisation Expenditure" on April 15, 2025. This comprehensive study examines immunisation spending trends from 2016 to 2022 across ten countries: Australia, Brazil, Canada, France,...
Consumer choice and control within a highly regulated, market-based system in Australia
Australia’s long-term care system operates within a tightly regulated, market-based framework that emphasises consumer choice and control. In this country report, published by the WHO Centre for Health Development, authors Sarah Wise, Michael Woods, and Kees van Gool...
Government purchase of private health services in the Eastern Mediterranean region: opportunities and challenges for stewarding towards a universal health coverage focus
As countries across the Eastern Mediterranean region (EMR) increasingly rely on private providers to deliver health services, governments face growing pressure to ensure these purchasing arrangements align with Universal Health Coverage (UHC) goals. This article,...
Purchasing health care from the private sector: a primer for middle-income countries in the WHO European Region
In response to growing interest among middle-income countries in the WHO European Region to engage private health-care providers (PHPs) within publicly funded health systems, the WHO Barcelona Office for Health Systems Financing has developed this primer to support...
Purchasing primary care services for quality chronic care: Capitation with performance payments in four countries
Published in The International Journal of Health Planning and Management, the open-access short communication “Purchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries” examines how provider payment reforms can...
A Chinese conundrum: does higher insurance coverage for hospitalization reduce financial protection for the patients who most need it?
This paper analyzes how cost-sharing impacts the use of outpatient and inpatient health services in China. The study reveals that increased cost-sharing for outpatient services leads to decreased outpatient usage while simultaneously increasing reliance on inpatient...