Recognising how important purchasing is in social health insurance, this study critically assesses purchasing arrangements between Nigeria’s national health insurance scheme, health maintenance organisations and healthcare providers. It determines how the arrangements...
To ensure social health protection of the members, Philippine Health Insurance Corporation (PhilHealth) has implemented a new payment mechanism or the so-called “Debit-Credit Payment Method”, aiming to enable fast track reimbursement to qualified hospitals that...
In Singapore, the government has stopped free COVID-19 treatment for unvaccinated people, while continuing free care and treatment for the vaccinated. It is expected to increase vaccine coverage as well as reduce public finance concerns on rising medical expenditures....
The cost of healthcare in Saudi Arabia continues to rise at an alarming rate, challenging the sustainability of the public healthcare system. This paper reviews various identified payment models that can be used to contain costs and improve the quality of the care...
Developing systematic decision-making processes for health that are fair and transparent is an important step towards achieving universal health coverage (UHC). However, having such decision-making processes alone is not enough. These processes should have clear...
This journal article gives insight into Lebanon’s healthcare response to the COVID 19 pandemic with limited financial resources and an increasingly private and urban health sector. It suggests that 80% of the health care budget in Lebanon is spent on acute care in...
This paper provides an assessment of the purchasing arrangements in Egypt as stipulated by the universal health insurance law and bylaw, their implications and contribution to progress towards universal health coverage (UHC). There needs to be more legal clarity in...
This document aims to inform the universal health insurance law implementation process in Egypt by anticipating the strengths and possible challenges as well as developing options to support a shift towards more strategic purchasing. It suggests that it would be...
Two papers throw light on the provisions for strategic purchasing of health services in Egypt under the universal health insurance (UIH) law and highlight the requirement for more clarity on the subject for effective implementation (Egypt plans to progressively...
The government of Ghana launched the NHIS in 2003 to improve Ghanaian residents’ access to health services at the point of care by lessening financial barriers. The system continues to face challenges including some related to delays in submission and reimbursement...
Kazakhstan's Ministry of Healthcare has approved a work plan to develop and review tariffs (fees) for medical services provided within the guaranteed volume of free medical care and the mandatory social health insurance for year 2022. The workplan includes...
To curb the government expenditure as well as household spending on medical expenses, Maldives plans to impose price ceiling on pharmaceutical drugs next year to prevent excessive pharmaceutical drug use and prescription. In addition, Maldives also plans to work on...
According to the Resolution of the Cabinet of Ministers of Ukraine as of August 11, 2021 No. 836, the Cabinet of Ministers of Ukraine updated regulations on payments to health care workers treating COVID-19 patients. The Social Insurance Fund of Ukraine...
Can people afford to pay for health care? New evidence on financial protection in the Republic of Moldova (2020) A report by WHO with the above title has been published under authorship of By Iuliana Garam, Mariana Zadnipru, Valeriu Doronin, Andrei Matei, Ilaria...
