Performance-Based Intergovernmental Transfers
|
|
- Amanda Allison
- 6 years ago
- Views:
Transcription
1 Performance-Based Intergovernmental Transfers Brazil s Family Health Program And Argentina s PLAN NACER Program Jerry La Forgia World Bank National Workshop for Results-Based Financing for Health Jaipur, India January 28, 2010
2 Overview Brazil New financial system PSF incentive to increase coverage Pilot incentive scheme to increase coverage, efficiency and effectiveness Argentina Results-based model Financial flows Indicators
3 Issues Facing Brazil s MOH How to make federal government financing for health more effective and less cumbersome? How to make subnational entities (states and municipalities) more accountable for use of federal financing? How to lower the transaction costs of federal financing for health?
4 Financial Reform for Federal Health Allocations Old system: Too many parallel systems (30+) Difficult to track $ Much administrative overlap Weakened already weak capacity Awkward agreement - based system fiefdoms New fund-to-fund system (mid 1990s) Single and consolidated financial platform - all health financing sources channeled through same financial system Establishment of federal, state and municipal Health Funds All programs and investments brought into single account Subnational entities made responsible for entire financial package independent of funding source Created opportunity for performance-based financing
5 Old System State treasury State Health Secretariat Services, Programs, Investments GoB Municipal Treasury Municipal Health Secretariat Services, Programs, Investments
6 Brazil Federal Financing Subsystem for Health: STATES (mainly specialty and hospital care) FEDERAL TREASURY STATE TREASURY Budget Transfers FEDERAL HEALTH FUND FEDERAL HEALTH MINISTRY Transfers STATE HEALTH FUND STATE HEALTH SECRETARIAT Provision and/or purchasing of services
7 Brazil Federal Financing Subsystem for Health: Municipalities (mainly primary care and population-based health) Budget FEDERAL TREASURY FEDERAL HEALTH FUND FEDERAL HEALTH MINISTRY Transfers State Treasury State Health Fund Transfers Transfers MUNICIPAL HEALTH FUND MUNICIPAL HEALTH SECRETARIAT MUNICIPAL TREASURY Provision and/or purchasing of primary care services; Operation of population health programs
8 1994+ The Case of the Family Health Primary care program Program (PSF) Active outreach and prevention Tracking of family and community health Based on Family Health Approach Team: doctor, nurse, nurse auxiliaries and community health agents
9 PSF: Original Priority Areas 1. Women s health pre-natal care, prevention of cervical cancer, family planning 2. Child health growth & development, nutrition, immunization, treatment of prevalent illnesses 3. Control of hypertension 4. Control of diabetes 5. Control of tuberculosis 6. Elimination of leprosy 7. Prevention of, testing and counseling re. HIV including prevention and treatment of STIs 8. Oral health 9. Health promotion activities 10.Population-based health activities
10 PSF Performance-based Financing Scheme Emphasis on PSF coverage extension Incentives to states to establish program and expand to poorest Brazilians Flat one-time transfer for establishing each new PSF team Variable transfer to incentivize continuous coverage extension (co-financed recurrent costs of teams)
11 Financial Incentives for Family Health Program (2002) Level Population Coverage Amount per team per year ($R) 1 0 to 4.9 % R$ , to 9.9 % R$ , to 19.9 % R$ , to 29.9 % R$ , to 39.9 % R$ , to 49.9 % R$ , to 59.9 % R$ , to 69.9 % R$ , % and more R$ ,00
12 Annual Number of PSF Team,
13 Recent Reforms (2006) Consolidated 74 separate financial transfers into 6 block grants: (basic care, medium and high complexity care, health surveillance, pharmaceuticals, and management). State and municipal managers can reallocate resources to activities and interventions within each block (but not across blocks) Block-based allocations linked to signed performance agreements with performance indicators Must use federal funds for intended purposes But financing is yet to be linked to indicator compliance
14 Pilot Scheme (2009+) Improve coverage, effectiveness, quality and efficiency of PSF in large cities Financing varies according to compliance with indicators Can earn additional 15% bonus for participation and establishment of quality certification program for PSF
15 PERFORMANCE-BASED INCENTIVE SCHEME FOR PARTICIPATING MUNCIPALITIES (variation in per PSF team allocations according to performance category) (a) $2X (b) (c) $2.5X maximum per team Allocation Coverage Improvement (d) (e) (f) (g) $X minimum per team allocation (h) (i) $1.5X Efficiency, Effectiveness, Fiduciary Improvement
16 Indicators Effectiveness 1. Increase in per capita medical visits PSF teams 2. Infants <1 with complete vaccination regimen (DPT-H, polio, measles, tuberculosis) 3. Pregnant mothers with 7 or more pre-natal consultations 4. % patients referred from Family Health teams for specialized care over total number of PSF medical consultations Efficiency 5. % reduction of hospital admissions for stroke 6. % reduction of hospital admissions for children <5 for acute respiratory infections (ARI) Management 7. PSF teams supervision Supervision plan (objectives, schedule, checklist) No. of municipal supervisors PSF teams supervised (with verified supervisory report) 8. % PSF teams trained in at least 4 PSF strategic areas
17 Argentina- Plan Nacer Financing Health Sector Results
18 Problem Inequitable distribution of resources across states and w/i states Many poor Argentines lost health insurance during economic crisis of Increase in IMR and MMR rates Objective Increase access to basic health services for uninsured mothers (during pregnancy) and children (up to 6 years old), contributing to decrease infant and maternal mortality Target the poorest states (600,000 beneficiaries)
19 New Results-based Transfer model Introduced financial incentives between the federal government and provinces (states) and between the states and public and private providers, linking financing with results (output and intermediary outcomes). Established MCH package of services Created capitation-based grant transfer based on cost of MCH package 60% of the capitation payment released upon monthly certification of enrolment of eligible population, and 40% of the capitation payment released for each of the 10 Tracers goals achieved (quarterly, ex-post audited by a concurrent auditor)
20 Funding flows Federal Health Ministry 60% on verified enrollment Per capita Based Transfers 40% on verified Tracer indicators State Health Authorities Fee-for service Provision of documentation on enrollment and services Public providers Private providers Provision of service package Fund releases triggered by verification of outputs Auditor
21 TRACERS Timely inclusion of eligible pregnant women in prenatal care services Effectiveness of neonatal and delivery care (Apgar Score) Effectiveness of pre-natal care and prevention of premature birth (weight above 2.5 kilos) Quality of pre-natal and delivery care ( number of mothers immunized and tested for STDs) Medical Auditing of Maternal and Infant deaths Immunization Coverage (measles vaccine) Sexual and Reproductive Healthcare Well child care (1 year or younger) Well child care (1-6 years old) Inclusion of Indigenous Populations
22 Design Elements Certification by Independent Concurrent Auditor Certification of beneficiary eligibility is done by the Concurrent Auditor through monthly cross-checking of beneficiary databases and enrolment registers. Certification of Tracers is done by the Concurrent Auditor through both, certifying surveillance and monitoring systems at provincial and provider levels as well as through sample auditing of medical records at provider level Penalties for erroneous billing (125% of capitation is discounted)
23 Design Elements Fee-for-service payment to public and private providers Providers can use up to ½ of payment to pay staff bonuses Free choice of provider State governments Enroll beneficiaries Establish purchasing/contract management unit Contract providers Strengthened surveillance and monitoring systems required to certify achievement of tracers
24 Percent Accomplished Results % 90.00% 80.00% APL-1 Tracer Accomplishments: Goal vs.outcome Goal Outcome 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Tracers
25 Business as Unusual For the first time in Argentina s public health sector, national financial transfers to the states are linked to verifiable results. Also for the first time, financing of public providers is done on the basis of delivery of services to eligible population. New output and outcome data is beginning to serve as basis for strategy and planning at provincial level Social accountability has also increased significantly.
Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All
ARGENTINA Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All FAMEDIC and Ministry of Health of Santa Fe. SUMMARY In Argentina, the system is characterized
More informationCÔTE D IVOIRE 7.4% 9.6% 7.0% 4.7% 4.1% 6.5% Poor self-assessed health status 12.3% 13.5% 10.7% 7.2% 4.4% 9.6%
Health Equity and Financial Protection DATASHEET CÔTE D IVOIRE The Health Equity and Financial Protection datasheets provide a picture of equity and financial protection in the health sectors of low- and
More informationPROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Project Name Kosovo Health Project
More informationData Profile of Sagar District
Data Profile of Sagar District Compiled By: Santosh Pal District Facilitator, Chhatarpur GOI UN Joint Programme on Convergence Disclaimer: It is a reference document only. BASIC INDICATORS S. No Indicator
More informationNEPAL. Public Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Health Equity and Financial Protection DATASHEET NEPAL The Health Equity and Financial
More informationHaiti: Paying NGOs for results January 29, 2010 Jaipur, India
Haiti: Paying NGOs for results January 29, 2010 Jaipur, India. Rena Eichler, PhD Broad Branch Associates renaeichler@broadbranch.com Overview USAID funded project (1995-2010) to strengthen capacity to
More informationJLN/GIZ Case Studies on Payment Innovation for Primary Health Care
SERIES SUMMARY JLN/GIZ Case Studies on Payment Innovation for Primary Health Care In most countries, primary health care (PHC) providers are the first point of contact that people have with the health
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Project Name PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Health Sector Support Project
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB2560 Project Name. Bahia Integrated Water Management Region
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB2560 Project Name Bahia
More informationHealth Financing in Africa: More Money for Health or Better Health For the Money?
Health Financing in Africa: More Money for Health or Better Health For the Money? March 8, 2010 AGNES SOUCAT,MD,MPH,PH.D LEAD ECONOMIST ADVISOR HEALTH NUTRITION POPULATION AFRICA WORLD BANK OUTLINE MORE
More informationHealth Sector Strategy. Khyber Pakhtunkhwa
Health Sector Strategy Khyber Pakhtunkhwa Health Sector Strategy-Khyber Pakhtunkhwa After devolution, Khyber Pakhtunkhwa is the first province to develop a Health Sector Strategy 2010-2017, entailing a
More informationHealth Equity and Financial Protection Datasheets. South Asia
Health Equity and Financial Protection Datasheets South Asia Acknowledgements These datasheets were produced by a task team consisting of Caryn Bredenkamp (Task Team Leader, Health Economist, HDNHE),
More informationFramework for Monitoring Progress towards Universal Health Coverage in Bangladesh
Framework for Monitoring Progress towards Universal Health Coverage in Bangladesh Md. Ashadul Islam Director General Health Economics Unit Ministry of Health and Family Welfare National Commitment to UHC
More informationResource tracking of Reproductive, Maternal, Newborn and Child Health RMNCH
Resource tracking of Reproductive, Maternal, Newborn and Child Health RMNCH Patricia Hernandez Health Accounts Geneva 1 Tracking RMNCH expenditures 2 Tracking RMNCH expenditures THE TARGET Country Level
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE. Health Service Delivery Project (HSDP) Region
PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Project Name Health Service Delivery Project (HSDP) Region AFRICA Sector Health (100%) Project ID P111840 Borrower(s) GOVERNMENT OF ANGOLA Implementing
More informationLESOTHO HEALTH BUDGET BRIEF 1 NOVEMBER 2017
@UNICEF/Lesotho/CLThomas2016 LESOTHO HEALTH BUDGET BRIEF 1 NOVEMBER 2017 This budget brief is one of four that explores the extent to which the national budget addresses the needs of the health of Lesotho
More informationIMPLEMENTATION COMPLETION RESULTS REPORT (IBRD 7199/AR) ON A SECTOR ADJUSTMENT LOAN IN THE AMOUNT OF US$750 MILLION DOLLARS THE ARGENTINE REPUBLIC
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank IMPLEMENTATION COMPLETION RESULTS REPORT (IBRD 7199/AR) ON
More informationTestimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act
Testimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act Senate Finance & Health and Human Services Committees February 7, 2017 James Beasley, Policy Analyst
More informationMultinational Comparisons of Health Systems Data, 2010
1 Multinational Comparisons of Health Systems Data, 21 Gerard F. Anderson and Patricia Markovich Johns Hopkins University November 21 Support for this research was provided by The Commonwealth Fund. 2
More informationFOR OFFICIAL USE ONLY
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank FOR OFFICIAL USE ONLY PROJECT PAPER ON A PROPOSED ADDITIONAL
More information2018 P4Q Measures STAR. At-risk measures - Plans will be evaluated on their Performance against benchmarks and Performance against self.
STAR At-risk measures - Plans will be evaluated on their and Performance against self. 1. Potentially Preventable ED Visits (PPVs) - this measure was included in the original P4Q program Required by TX
More informationSLIDING FEE SCALE APPLICATION FORM
SLIDING FEE SCALE APPLICATION FORM Today s Date Name Date of Birth Address City State ZIP Code Home Phone Work Phone Cell Phone Would you like to schedule an appointment with a Certified Enrollment Counselor
More informationIMPLEMENTATION COMPLETION AND RESULTS REPORT (IBRD-75450) ON A LOAN IN THE AMOUNT OF US$83.45 MILLION TO THE FEDERATIVE REPUBLIC OF BRAZIL FOR THE
Public Disclosure Authorized Document of The World Bank Report No: ICR00002372 Public Disclosure Authorized IMPLEMENTATION COMPLETION AND RESULTS REPORT (IBRD-75450) ON A LOAN IN THE AMOUNT OF US$83.45
More informationBolsa Família Program (PBF)
PROGRAM DATA SHEET Thematic area: Cash transfer. 1. EXECUTIVE SUMMARY Bolsa Família Program (PBF) LAST UPDATED: JUNE 23, 2015 The Bolsa Família Program is the largest direct conditional income transfer
More informationHealth Equity and Financial Protection Datasheets. Middle E ast and North Africa
Health Equity and Financial Protection Datasheets Middle E ast and North Africa Acknowledgements These datasheets were produced by a task team consisting of Caryn Bredenkamp (Task Team Leader, Health
More informationResults-Based Financing (RBF) in the Health Sector in Burkina Faso: Implementation and Expenditure Patterns (January 2014 to December 2015)
Results-Based Financing (RBF) in the Health Sector in Burkina Faso: Implementation and Expenditure Patterns (January 2014 to December 2015) By: Gérard W. NONKANI, Richard BAKYONO, Boukary TAPSOBA Introduction
More informationCONTRACTING FOR THE DELIVERY OF PRIMARY HEALTH CARE IN CAMBODIA: DESIGN AND INITIAL EXPERIENCE OF A LARGE PILOT- TEST
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized CONTRACTING FOR THE DELIVERY OF PRIMARY HEALTH CARE IN CAMBODIA: DESIGN AND INITIAL EXPERIENCE
More informationRESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING OF CAMEROON HEALTH SECTOR SUPPORT INVESTMENT PROJECT CREDIT: 4478-CM TO THE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized 1 Document of The World Bank RESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING
More informationBOLIVIA S REFORM TO IMPROVE MATERNAL AND CHILD MORTALITY
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized BOLIVIA S REFORM TO IMPROVE MATERNAL AND CHILD MORTALITY by Sandra Camacho, Nicole Schwab
More informationAND DEVELOPMENT PROJECT
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank TECHNICAL ANNEX FOR A PROPOSED GRANT OF SDR 43.7 MILLION (US$59.6
More informationHealth Planning Cycle
Health Planning Cycle Moazzam Ali Department of Reproductive Health and Research WHO In today's presentation Definitions Rationale for health planning Health planning cycle outline Step by step introduction
More informationSetting up a Registry of Beneficiaries for SSN interventions. Rogelio Gómez Hermosillo M WB Consultant December 8, 2011
Setting up a Registry of Beneficiaries for SSN interventions Rogelio Gómez Hermosillo M WB Consultant December 8, 2011 Contents Uses of the Registry of Beneficiaries Steps and processes to create the Registry
More informationThe Trend and Pattern of Health Expenditure in India and Its Impact on the Health Sector
EUROPEAN ACADEMIC RESEARCH Vol. III, Issue 9/ December 2015 ISSN 2286-4822 www.euacademic.org Impact Factor: 3.4546 (UIF) DRJI Value: 5.9 (B+) The Trend and Pattern of Health Expenditure in India and Its
More informationImpact of Economic Crises on Health Outcomes & Health Financing. Pablo Gottret Lead HD Economist, SASHD The World Bank March, 2009
Impact of Economic Crises on Health Outcomes & Health Financing Pablo Gottret Lead HD Economist, SASHD The World Bank March, 2009 Outline How bad is the current crisis How does the current crisis compare
More informationUsing the OneHealth tool for planning and costing a national disease control programme
HIV TB Malaria Immunization WASH Reproductive Health Nutrition Child Health NCDs Using the OneHealth tool for planning and costing a national disease control programme Inter Agency Working Group on Costing
More informationWhat you need to know
Exploring The Affordable Care Act What you need to know Maternal Child Adolescent Health Advisory Board Meeting August 1, 2013 Vanessa Raditz, vraditz@berkeley.edu Why do we need this training? Many people
More informationAppendix 2 Basic Check List
Below is a basic checklist of most of the representative indicators used for understanding the conditions and degree of poverty in a country. The concept of poverty and the approaches towards poverty vary
More information2015 Enrollment Guide New Hampshire Employees
You can only enroll once a year, so don t miss your chance! 2015 Enrollment Guide New Hampshire Employees Enroll online at www.aa-benefits.com To enroll by phone, call 1-855-495-1190 Questions: Call 855-495-1190,
More informationArgentina Increasing Utilization of Health Care Services among the Uninsured Population: The Plan Nacer Program
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Rafael Cortez and Daniela Romero Argentina Increasing Utilization of Health Care Services
More informationNATIONAL POLICY IN HEALTH FINANCING
NATIONAL POLICY IN HEALTH FINANCING 5 th Congress Indonesia Health Economics Association ( InaHea) Jakarta, 31 st Oct 2018 PRESENTATION OUTLINE Introduction Overview of Indonesia s Health Financing Evaluation
More informationCOUNTRY CASE STUDY UNIVERSAL HEALTH INSURANCE IN COSTA RICA. Prepared by: Di McIntyre Health Economics Unit, University of Cape Town
COUNTRY CASE STUDY UNIVERSAL HEALTH INSURANCE IN COSTA RICA Prepared by: Di McIntyre Health Economics Unit, University of Cape Town Preparation of this material was funded through a grant from the Rockefeller
More informationThe World Bank Sri Lanka - Second Health Sector Development Project (P118806)
Public Disclosure Authorized SOUTH ASIA Sri Lanka Health, Nutrition and Population Global Practice IBRD/IDA Sector Investment and Maintenance Loan FY 2013 Seq No: 5 ARCHIVED on 22-Jun-2015 ISR19359 Implementing
More information1. Receipts of the social protection system in Bulgaria,
THE EUROPEAN SYSTEM OF INTEGRATED SOCIAL PROTECTION STATISTICS (ESSPROS) Receipts and expenditure of the social protection system in 2015 Financing of the social protection system in the country is realized
More informationImportant health care reform notice Women s preventive services covered with no member cost share
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Important health care reform notice Women s preventive services covered with no member cost share www.aetna.com
More informationIMPLEMENTATION COMPLETION AND RESULTS REPORT (IBRD-7409) ON A LOAN IN THE AMOUNT OF US$ 300 MILLION TO THE REPUBLIC OF ARGENTINA FOR THE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank IMPLEMENTATION COMPLETION AND RESULTS REPORT (IBRD-7409) ON
More informationUniversal Health Care Coverage in China: Challenges and Opportunities
Available online at www.sciencedirect.com Procedia - Social and Behavioral Scien ce s 77 ( 2013 ) 330 340 Selected Papers of Beijing Forum 2010 Universal Health Care Coverage in China: Challenges and Opportunities
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB3313 Project Name. BO-Enhancing Human Capital of Children and Youth Region
PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB3313 Project Name BO-Enhancing Human Capital of Children and Youth Region LATIN AMERICA AND CARIBBEAN Sector Other social services (100%)
More informationPROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: AB5681 STRENGTHENING HEALTH ACTIVITY FOR THE RURAL POOR PROJECT Region
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Project Name PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: AB5681 STRENGTHENING
More informationDRC SURVEY: An Overview of Demographics, Infrastructure, Health, and Financial Services in the Democratic Republic of Congo
3/14/17 DRC SURVEY: An Overview of Demographics, Infrastructure, Health, and Financial Services in the Democratic Republic of Congo Naughton B, Abramson R, Wang A, Kwan-Gett T Agenda Agenda Introduction
More informationA Guide to Out-of- Pocket Costs
A Guide to Out-of- Pocket Costs There are two types of costs that you pay for health insurance: your monthly payment that you make no matter what, called a premium, and costs you pay at point of care,
More informationImportant health care reform notice Women s preventive services covered with no member cost share
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Important health care reform notice Women s preventive services covered with no member cost share www.aetna.com
More informationWill India Embrace UHC?
Will India Embrace UHC? Prof. K. Srinath Reddy President, Public Health Foundation of India Bernard Lown Professor of Cardiovascular Health, Harvard School of Public Health The Global Path to Universal
More informationACCESS TO THE HIGHEST QUALITY PRIMARY HEALTHCARE AT AFFORDABLE PRICES
ACCESS TO THE HIGHEST QUALITY PRIMARY HEALTHCARE AT AFFORDABLE PRICES WELCOME TO ELIXI MEDICAL INSURANCE PURPLE PLAN - PRIMARY AND HOSPITAL CARE Elixi Medical Insurance aims to make private healthcare
More informationResource Tracking for RMNCH: (reproductive, maternal, neonatal and child health)
Resource Tracking for RMNCH: (reproductive, maternal, neonatal and child health) Tessa Tan-Torres Edejer tantorrest@who.int WHO Health Systems Financing Department Country Level Recommendations from Commission
More information15% 30% $7,350 Individual Unlimited Individual (per calendar year) Out-Of-Pocket Maximum
PLAN FEATURES Deductible (per calendar year) $1,750 Individual $20,000 Individual $3,500 Family $40,000 Family All covered expenses accumulate toward both the preferred and non-preferred Deductible. Unless
More informationImpacts of Conditional Cash Transfers on Health Status: The Bolsa Familia Program in Brazil
Impacts of Conditional Cash Transfers on Health Status: The Bolsa Familia Program in Brazil Andre Medici The World Bank Latin America and Caribbean Region Human Development Network Harvard Conference -
More informationWomen, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013
Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements Webinar and Discussion December 4 th 2013 Presentation Quick overview of the Affordable Care Act 1. Coverage and
More informationIN PARTNERSHIP WITH Abt Associates, Inc. Population Services International. FUNDED BY US Agency for International Development
The Uganda Private Providers Loan Fund A private sector intervention to improve women s health: Using microcredit to improve and expand private health practices that serve women and children IN PARTNERSHIP
More informationThe mission of the Public Health Department is to protect the public through promoting individual, community, and environmental health.
Mission Statement The mission of the Department is to protect the public through promoting individual, community, and environmental health. Department Description and Key Issues The Department of provides
More informationUNICEF s equity approach: from the 2010 Narrowing the Gaps study via equity focused programming and monitoring to a Narrowing the Gaps+5 study &
UNICEF s equity approach: from the 2010 Narrowing the Gaps study via equity focused programming and monitoring to a Narrowing the Gaps+5 study & EQUIST Narrowing the Gaps: Right in Principle, Right in
More informationFOR OFFICIAL USE ONLY
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank FOR OFFICIAL USE ONLY FOOD PRICE CRISIS RESPONSE TRUST FUND
More informationColombia REACHING THE POOR WITH HEALTH SERVICES. Using Proxy-Means Testing to Expand Health Insurance for the Poor. Public Disclosure Authorized
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized REACHING THE POOR WITH HEALTH SERVICES Colombia s poor now stand a chance of holding
More informationUSING DASHBOARDS TO COMMUNICATE M&E TO GOVERNMENT OF UTTAR PRADESH (UP) PROGRAM MANAGERS
USING DASHBOARDS TO COMMUNICATE M&E TO GOVERNMENT OF UTTAR PRADESH (UP) PROGRAM MANAGERS RMNCH+A DASHBOARD (REPRODUCTIVE, MATERNAL, NEWBORN, CHILD, ADOLESCENT HEALTH) European Evaluation Society Conference,
More informationFor: Choice POS II High Deductible Health Plan - Faculty, Managerial & Professional Employees
Schedule of Benefits Employer: Yale University ASA: 877076 Issue Date: July 28, 2017 Effective Date: January 1, 2017 Schedule: 6A Booklet Base: 6 For: Choice POS II High Deductible Health Plan - Faculty,
More informationTrends in child growth in the population covered by Plan Nacer and Programa Sumar between 2005 and 2013, in Argentina
Trends in child growth in the population covered by Plan Nacer and Programa Sumar between 2005 and 2013, in Argentina María Eugenia Szretter Instituto de Cálculo y Departamento de Matemática Facultad de
More informationThe Global Economy and Health
The Global Economy and Health Marty Makinen, PhD Results for Development Institute September 7, 2016 Presented by Sigma Theta Tau International Organization of the session The economic point of view on
More informationHEALTHCARE AND MEDICAL EDUCATION
HEALTHCARE AND MEDICAL EDUCATION Contents Advantage Jharkhand Healthcare in India Health Indicators Healthcare in Jharkhand PPP-Success stories in Jharkhand Opportunity Landscape in Jharkhand Policy Interventions
More informationHARRIS COUNTY HOSPITAL DISTRICT (dba HARRIS HEALTH SYSTEM) A COMPONENT UNIT OF HARRIS COUNTY, TEXAS. Reports on Federal and State Award Programs
Reports on Federal and State Award Programs Table of Contents Page(s) Independent Auditors Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial
More informationUnitedHealthcare s Approach to Women s Preventive Care Services
Preventive Care Services Overview UnitedHealthcare s Approach to Women s Preventive Care Services As a company dedicated to helping people to live healthier lives, UnitedHealthcare encourages our members
More informationProgramme Budget Matters: Programme Budget
REGIONAL COMMITTEE Provisional Agenda item 6.2 Sixty-eighth Session Dili, Timor-Leste 7 11 September 2015 20 July 2015 Programme Budget Matters: Programme Budget 2016 2017 Programme Budget 2016 2017 approved
More informationof-pocket Expenses, Financial Protection, and Catastrophic Health Expenditures The Case of INDIA
2nd International Conference Health Financing in Developing Countries Health Insurance, Out-of of-pocket Expenses, Financial Protection, and Catastrophic Health Expenditures The Case of INDIA Vijay Kalavakonda
More informationNOWOBILSKA MEDICAL PRACTICE PATIENT REGISTRATION FORM 4201 West 95 th Street Oak Lawn, IL 60453
NOWOBILSKA MEDICAL PRACTICE PATIENT REGISTRATION FORM 4201 West 95 th Street Oak Lawn, IL 60453 Please Print: Patient Name. First MI Last Address: City: State: Zip: Home Phone: Work Phone: Cell: Email
More informationThe World Bank Sri Lanka - Second Health Sector Development Project (P118806)
Public Disclosure Authorized SOUTH ASIA Sri Lanka Health, Nutrition & Population Global Practice IBRD/IDA Sector Investment and Maintenance Loan FY 2013 Seq No: 6 ARCHIVED on 15-Dec-2015 ISR21541 Implementing
More informationRESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING EXPANDING ACCESS TO REDUCE HEALTH INEQUITIES PROJECT (APL III)
Public Disclosure Authorized Document of The World Bank Report No: 73337-BO Public Disclosure Authorized RESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING OF EXPAING ACCESS TO REDUCE HEALTH INEQUITIES
More informationPresumptive Eligibility. Last Updated: February 20, 2018
Presumptive Eligibility Last Updated: February 20, 2018 Agenda Presumptive Eligibility Overview Covered Benefits Qualified Providers (QPs) How to Become a QP Completing the PE Application Other Resources
More informationCharisma Hooda 1/13/14
Charisma Hooda 1/13/14 Link the MCAH population to needed medical, mental, social, dental, and community services to promote equity in access to quality services, especially for those who are eligible
More informationMED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:
MED 1 Deliverable 1. Five Year Florida Maternal and Child Health Indicators Report: -1 Presented to the Florida Agency for Health Care Administration Prepared by the University of Florida Family Data Center
More informationFive Key Features of MEC Plus
Five Key Features of MEC Plus 1. MEC Plus is the lowest cost plan that fulfills the governments individual mandate and keeps you from paying a penalty tax. The 2017 tax penalty is the greater of $695 per
More informationSocial Protection Assessment- Based National Dialogue in Indonesia
INTRO Costing of income security for the elderly Closing the SPF gap for the elderly would cost between 0.09% of GDP ( low scenario) and 0.95% of GDP ( high scenario) by 2020. The low scenario includes:
More informationThe Impact of Community-Based Health Insurance on Access to Care and Equity in Rwanda
TECH N IC A L B R I E F MARCH 16 Photo by Todd Shapera The Impact of Community-Based Health Insurance on Access to Care and Equity in Rwanda W ith support from The Rockefeller Foundation s Transforming
More informationSecuring stable revenue for health: Earmarking policy in Republic of Moldova
Joint OECD and WHO meeting on financial sustainability of health systems in central, eastern, and south-eastern Europe Tallinn, Estonia, 28-29 June 2012 Securing stable revenue for health: Earmarking policy
More informationIn-Network Deductible: $3,000 per Member or $6,000 per family per calendar year.
GL, 07/07 Schedule of Benefits Services listed are covered when Medically Necessary. Please see your Benefit Handbook for details. Member Cost Sharing Summary Cost Sharing Your Plan has the following Member
More informationMADAGASCAR PUBLIC EXPENDITURE REVIEW 2014 HEALTH SECTOR BACKGROUND PAPER. Version: September 17, 2015
MADAGASCAR PUBLIC EXPENDITURE REVIEW 2014 HEALTH SECTOR BACKGROUND PAPER Version: September 17, 2015 TABLE OF CONTENTS ACKNOWLEDGEMENTS... V SECTION A. PRESENTATION OF THE HEALTH SYSTEM AND HEALTH NEEDS...
More informationACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT
ACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT Abigail English, JD english@cahl.org Young Adult Workshop IOM/NRC Washington, DC May 4, 2013 Special Thanks! M.
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB5690 Project Name. STRENGTHENING THE PUBLIC HEALTH CARE SYSTEM PROJECT Region
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB5690 Project Name STRENGTHENING
More informationOHIO MEDICAID ASSESSMENT SURVEY 2012
OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio Policy Brief A HEALTH PROFILE OF OHIO WOMEN AND CHILDREN Kelly Balistreri, PhD and Kara Joyner, PhD Department of Sociology and the
More informationStatistics Division, Economic and Social Commission for Asia and the Pacific
.. Distr: Umited ESAW/CRVS/93/22 ORIGINAL: ENGUSH EAST AND SOUTH ASIAN WORKSHOP ON STRATEGIES FOR ACCELERATING THE IMPROVEMENT OF CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS BEIJING, 29 NOVEMBER -
More informationSOCIO-ECONOMIC DIFFERENCES HEALTH, NUTRITION, AND POPULATION INDONESIA
SOCIO-ECONOMIC DIFFERENCES in HEALTH, NUTRITION, AND POPULATION in INDONESIA Davidson R. Gwatkin, Shea Rustein, Kiersten Johnson, Rohini P. Pande, and Adam Wagstaff for the HNP/Poverty Thematic Group of
More informationColorado Department of Public Health and Environment FY Budget Request Schedule 6: Special Bills Summary
Bill Number Short Bill Title Line Items FTE Total SB 11-076 PERA Contribution Rates Colorado Federal,, Personal Services 0.0 ($111,979) $0 $0 $0 ($111,800) ($179), (B) Special Health Programs, Personal
More informationRwanda. UNICEF/Till Muellenmeister. Health Budget Brief
Rwanda UNICEF/Till Muellenmeister Health Budget Brief Investing in children s health in Rwanda 217/218 Health Budget Brief: Investing in children s health in Rwanda 217/218 United Nations Children s Fund
More informationBANGLADESH. Performance monitoring frameworks in the health sector. Country notes
Performance monitoring frameworks in the health sector Country notes BANGLADESH Context 2 Sector monitoring framework 2 Linkages with poverty reduction 3 Comments 3 Key documents 5 Performance measures
More informationThe World Bank Strengthening Primary Health Care for Results (P152736)
Public Disclosure Authorized AFRICA Tanzania Health, Nutrition & Population Global Practice IBRD/IDA Program-for-Results FY 2015 Seq No: 5 ARCHIVED on 28-Dec-2017 ISR29780 Implementing Agencies: MINISTRY
More informationINVESTING IN FAMILY PLANNING FOR ACCELERATED ACHIEVEMENT OF MDGs. Dr. Wilfred Ochan Assistant Representative, UNFPA
Uganda United Nations Population Fund INVESTING IN FAMILY PLANNING FOR ACCELERATED ACHIEVEMENT OF MDGs. Dr. Wilfred Ochan Assistant Representative, UNFPA at SEAPACOH Workshop Speke Resort Munyonyo September
More informationSTATUS REPORT ON MACROECONOMICS AND HEALTH NEPAL
STATUS REPORT ON MACROECONOMICS AND HEALTH NEPAL 1. Introduction: Nepal has made a significant progress in health sector in terms of its geographical coverage by establishing at least one health care facility
More informationProposed programme budget
Costing of results (outputs) for the Proposed programme budget 2018-2019 World Health Assembly May 2017 Further refinement of the output costing will take place during the operational planning phase after
More informationAPPLYING HEALTH FINANCING DIAGNOSTICS INDONESIA S EXPERIENCE
APPLYING HEALTH FINANCING DIAGNOSTICS INDONESIA S EXPERIENCE May 2, 2016 Background Health Status Rate per 1,000 live births 20 40 60 80 0 Indonesia s health status has improved significantly: life expectancy
More informationReports of the Regional Directors
^^ 禱 ^^^^ World Health Organization Organisation mondiale de la Santé EXECUTIVE BOARD Provisional agenda item 4 EB99/DIV/8 Ninety-ninth Session 30 October 1996 Reports of the Regional Directors Report
More informationHEALTH BUDGET SWAZILAND 2017/2018 HEADLINE MESSAGES. Swaziland
Swaziland HEALTH BUDGET SWAZILAND 217/218 Schermbrucker/ UNICEF Swaziland 217 HEADLINE MESSAGES The Ministry of Health was allocated E1.85 billion in the 217/18 Budget, representing 9.1% of the total Budget.
More informationGraduation Strategies for Safety Net Beneficiaries. Policy Note
BENAZIR INCOME SUPPORT PROGRAMME GOVERNMENT OF PAKISTAN Graduation Strategies for Safety Net Beneficiaries Policy Note PREPARED BY Rogelio Gomez Hermosillo & Asad Sayeed (consultants) and The World Bank
More informationPackage 2. Enrollment Guide. American Blue Ribbon Holdings. For the Employees of. Medical Plan Options and Enrollment Information
Package 2 Enrollment Guide For the Employees of American Blue Ribbon Holdings Medical Plan Options and Enrollment Information Minimum Essential Coverage MEC Benefits In-Network Out-of-Network 19 Adult
More information