Health Insurance/Financial Risk Pooling
Challenge
Sufficient financial resources are essential to the delivery of health services, such as those that serve women and children. In addition, the resources must be allocated well to attain desired impacts. Providers and suppliers of inputs make many resource allocation decisions on a daily basis. In doing so, they respond to incentives that either influence them to use the resources well or allow them to use the resources inefficiently, or even abuse them. Consumers, especially the poor, often under-use health services even when they are available. Frequently, these disadvantaged populations carry the highest burden of poor health. Thus, the health system, including the government and private sectors, must mobilize financing nationally and externally, allocate funds well among needs, align incentives with desired behaviors, and ensure access to the disadvantaged.
Approach
Health Systems 20/20 works with system actors to test, develop, apply, and institutionalize tools and approaches such as National Health Accounts (NHA) and subaccounts and cost and cost-effectiveness analysis, to address the mobilization and allocation of financing. In addition, Health Systems 20/20 works with counterparts on issues of access and equity to reduce financial barriers to use of priority services, especially by the disadvantaged. The tools employed include financial risk-sharing mechanisms such as community-based and social health insurance and targeting of subsidies. Finally, Health Systems 20/20 focuses on efficiency in use of resources by providers and consumers, using approaches that address incentives for efficiency and quality and protect against misuse such as provider payment mechanisms, performance-based contracting, conditional cash transfers, accreditation, and management information systems.
Download Health Systems 20/20 and Health Financing Brief
Find information about the Ghana Africa Health Insurance Workshop.
Health Systems 20/20 Year 3 Annual Report
Type: Report
Development Assistance and Fiscal Management
Tracking Development Assistance for Health
Type: Presentation
Private Sector Health Care in Indonesia
Type: Report
Country: Indonesia
Health in Indonesia: A Desk Review
Type: Report
Country: Indonesia
Survey on Using "Pay for Performance" to Improve Health Outcomes in Developing Countries
May 7 2009Does your program use pay-for-performance (P4P) to improve health outcomes? Or are you familiar with such programs? If so, we would appreciate your input.
More...New Brief: National Health Accounts and Public Expenditure Reviews: Redundant or Complementary Tools?
Mar 11 2009Government and donor promotion of both National Health Accounts (NHA) and Public Expenditure Reviews (PER) raises the question, Is there a need to conduct NHA in countries that are undertaking PER and vice versa, or are these tools redundant?
More...Health Systems 20/20 Releases Year 2 Annual Report
Dec 31 2008Read about project activities in Year 2 to increase the use of priority population, health, and nutrition services, especially by the disadvantaged through improvements in health financing, governance, operations, and capacity building.
More...Innovations for Health Financing in Sub-Saharan Africa
Dec 30 2008Senior experts from development agencies and think tanks located in the Washington area met on November 5, 2008 for a roundtable discussion on "Innovations for Health Financing in Sub-Saharan Africa."
More...New Toolkit!
Using Round 9 of the Global Fund for Health Systems Strengthening
Oct 27 2008Health Systems 20/20 and the Health Workforce Advocacy Initiative have teamed up to develop a toolkit of materials to help Global Fund applicants better understand how they can use Round 9 of the Global Fund to strengthen their countries’ health systems as well as what resources are available to support them in doing so.
More...
The Asia Pay for Performance Workshop Begins
Another critique of the Abuja target
Is robbing Peter to pay Paul worth worrying about?
Organizational Capacity Building
