This book explains a provider payment management of the Thailand's Universal Coverage Scheme managed by the National Security Office (NHSO). The information in this book is based on Universal Coverage Scheme’s Fund Management Guidelines for Fiscal Year 2019.This book...
Can single disease payment impact hospitalization expenses and quality in district hospital? A case study in Fujian, China
Despite efforts in payment reform towards Diagnosis Related Groups (DRGs) and Diagnosis Intervention Packet (DIP) payment, Single Disease Payment (SDP) remains prominent among district hospitals in China. This study aims to evaluate the implementation of SDP in a...
The impacts of diagnosis-intervention packet payment on the providers’ behavior of inpatient care—evidence from a national pilot city in China
In 2020, China launched an innovative case-based payment method under the regional global budget called the diagnosis-intervention packet (DIP) payment. This study aims to explore changes in inpatient care provision in secondary and tertiary hospitals after the DIP...
How provider payment methods affect health expenditure of depressive patients? Empirical study from national claims data in China from 2013 to 2017
In China, majority of urban populations are covered under the Urban Employee Basic Medical Insurance (UEBMI) and the Urban Resident Basic Medical Insurance (URBMI) schemes. This study aims to investigate the associations between provider payment methods and...
Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China
China has introduced a new case-based payment system called the “Diagnostic Intervention Package" or DIP. DIP is a Chinese original payment method aimed at influencing a positive behavior of healthcare providers. This study investigates the effects of the DIP.This...
Reform of the Fonds Commun Santé to accelerate universal health coverage
The reform reaffirms the importance of the Fonds Commun Santé (FCS) in health financing in Niger. The P4H country focal point has been entrusted with the task of considering the options for a redesign. A roadmap has been validated by the stakeholders and monitoring...
Cambodia: Guidelines for the Benefit Package and Provider Payment of the Health Equity Fund
Health equity fund (HEF) is a social health protection scheme aimed at enabling access to essential health care among the poor for free of charge in public health facilities in Cambodia. The guidelines describe the standard benefit packages and provider payments for...
Malawi National Health Financing Strategy 2023-2030
Malawi is committed to attaining Universal Health Coverage (UHC), aiming to improve access to healthcare services without imposing excessive financial burdens on its citizens. Aligned with international commitments such as the Sustainable Development Goals, Malawi has...
Examining multiple funding flows to public healthcare providers in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia and Vietnam
This study examines multiple funding flows and describes the potential effect of multiple payment streams on healthcare provider behaviour in low- and middle-income countries.Findings from case studies conducted in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia, and...
Factors for consideration when setting prices for private healthcare providers operating in public systems: a comparison of France and Japan
This study compares the purchasing arrangements with private providers under social health insurance systems in France and Japan.France and Japan use different approaches to determine the payment arrangements with public and private providers. In addition to payment...
Ethiopia Health Financing Strategy 2022-2031
The document outlines Ethiopia's Health Care Financing Strategy (HCF) spanning 2022-2031, building on past successes and challenges to advance towards Universal Health Coverage (UHC) via Primary Health Care (PHC). It aims to ensure equitable access to essential health...
Health Financing Progress Matrix assessment
This report provides a concise summary of Ethiopia's Health Financing Progress Matrix assessment, identifying strengths and weaknesses in the health financing system, and priority areas of health financing that need to be addressed to drive progress towards Universal...
Strengthening health financing and HTA institutionalization
The World Health Organization (WHO) in collaboration with the Ministry of Health (MoH) and the Ethiopian Health Insurance Services (EHIS) works to address core health financing policy issues and advance health technology assessment (HTA).The World Health Organization...
Technical consultation workshop on primary healthcare financing reforms
The document outlines the proceedings and outcomes of a Technical Consultation Workshop on Primary Healthcare Financing Reform held in Ethiopia from August 16th to 18th, 2023. The Ministry of Health of Ethiopia organized it with the Ethiopian Health Insurance Service,...
Purchasing arrangements to strengthen quality health services for chronic diseases
The WHO Centre for Health Development and the Department of Health Financing and Economics produced a body of work on enhancing quality healthcare for chronic diseases through purchasing arrangements between November 2021 to December 2023.Led by WHO Kobe Centre in...