Download or read book Moving toward Universal Coverage of Social Health Insurance in Vietnam written by Aparnaa Somanathan and published by World Bank Publications. This book was released on 2014-06-26 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, World Health Organization, United Nations Children's Fund (Unicef) and Rockefeller Foundation. Expanding breadth of coverage, particularly for those hard to reach groups such as the near-poor and informal sector would require substantially increasing general revenue subsidies and fully subsidizing the premiums for the near-poor. High enrollment rates would, however, have little impact on financial protection and equity if OOP costs remain high. Achieving UC will require sustained efforts to improve efficiency in the system, and gain better value for money from available budgetary resources; without these efforts, any further progress towards UC would be financially unsustainable. There is considerable scope for improving efficiency in Vietnam. Fragmentation in the pooling of funds gives rise to unnecessary costs. Inefficiencies in resource allocation and purchasing arrangements include: (i) an overly generous benefits package; (ii) provider payment mechanisms and the mix of incentives facing providers which result in an oversupply of services; (iii) high prices, overconsumption and inappropriate use of pharmaceuticals; and (iv) the structure and incentives embedded within the delivery system. The organization, management and governance of SHI are fragmented and often dysfunctional. The present institutional setting for SHI needs to be assessed and changed.

Download or read book China s Social Insurance in the Twentieth Century written by Aiqun Hu and published by BRILL. This book was released on 2015-10-27 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: In China’s Social Insurance in the Twentieth Century, Aiqun Hu develops a framework of “interactive diffusion of global models” in examining the history of China’s social insurance since the 1910s. The book covers both Nationalist- and Communist-controlled areas (1927-1949) and Taiwan (1949-present), surpassing the party divide. It argues that China’s progression in social insurance resulted from diffusion of two global models (German capitalist and Soviet socialist social insurance) until the early 1990s. Thereafter, China’s social insurance reforms were increasingly directed by the World Bank’s neoliberal models, which also influenced Taiwan’s pension reforms. During the entire process, however, global forces provided the basic intellectual framework, while national forces determined the timing and specifics of adopting the models.

Download or read book Tracking Universal Health Coverage written by World Health Organization and published by World Health Organization. This book was released on 2015-07-21 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report is the first of its kind to measure health service coverage and financial protection to assess countries' progress towards universal health coverage. It shows that at least 400 million people do not have access to one or more essential health services and 6% of people in low- and middle-income countries are tipped into or pushed further into extreme poverty because of health spending. Universal health coverage (UHC) means that all people receive the quality essential health services they need without being exposed to financial hardship. A significant number of countries at all levels of development are embracing the goal of UHC as the right thing to do for their citizens. It is a powerful social equalizer and contributes to social cohesion and stability. Every country has the potential to improve the performance of its health system in the main dimensions of UHC: coverage of quality services and financial protection for all. Priorities strategies and implementation plans for UHC will differ from one country to another. Enhanced and expanded monitoring of health under the Sustainable Development Goals (SDGs) should seek to build on that experience sharpening our focus on the key health service and financial protection interventions that underpin UHC. Effective UHC tracking is central to achieving the global goals for poverty alleviation and health improvement set by the World Bank Group and WHO. Without it policymakers and decision-takers cannot say exactly where they are or set a course for where they want to go. They cannot know whether they are focussing their efforts in the right areas or whether their efforts are making a difference. Monitoring is thus fundamental to the achievement of UHC objectives. It will also be vital to the realization of the SDGs. This report is a critical step to show how monitoring progress can be done telling us what the state of coverage of interventions and financial protection is and telling us where to focus most.

Download or read book Going Universal written by Daniel Cotlear and published by World Bank Publications. This book was released on 2015-09-28 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.

Download or read book China s Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.

Download or read book Universal Healthcare and Access to the Lower Income Population written by E. Charles Ezuma-Ngwu and published by Archway Publishing. This book was released on 2021-07-30 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a research-based exploration of Universal Healthcare and the benefits of healthcare providers’ capitation payment method in many developing economies. The author begins the research study by describing the history of healthcare in Nigeria and exposes a country’s healthcare problem that must be addressed to ensure healthcare access to the low-income population. The book leads the reader through perspectives on the major world’s healthcare payment systems, which include (a) diagnosis-related group (DRG); (b) pay-for-performance (P4P); (c) global budgeting payment systems; (d) fee-for-service (FFS) payment system; and (e) a provider-based capitation payment (PBCP) system. The author provides further review on the advent of geospatial mapping and healthcare, PBCP in lower- and middle-income countries (LMIC), and the current conditions at private outpatient medical centers (POMC) in Lagos, Nigeria. The study’s qualitative approach called for an inductive and deductive data analysis, with a bottom-up approach to building patterns and a comprehensive set of themes. To visualize the results of the predominant fee for Service (FFS) healthcare payment method in many developing economies and its associated catastrophic health outcomes, the study presents geospatial maps of this urban city and the socio-economic issues it produces. To deliver a successful capitation payment model for healthcare providers in Lagos, Nigeria, the author incorporated a framework model that included incentives and sanctions through an indirect principal-agent relationship, where the principal (enrollees) holds the government accountable for the healthcare provider’s actions (Baez-Camargo & Jacobs 2013). The study in this book concludes by delivering a visual template for transitioning from FFS based healthcare payment system to a more productive environment for both healthcare providers and patients to deliver and receive quality health outcomes and reach the lower-income population.

Download or read book Universal Coverage written by Rick Mayes and published by University of Michigan Press. This book was released on 2004 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines why the U.S. is the only industrialized nation without universal health insurance coverage

Download or read book Biopolitical Imperialism written by M. G. E. Kelly and published by John Hunt Publishing. This book was released on 2015-07-31 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biopolitical Imperialism is a book about international politics today. The core, eponymous thesis is that our world is marked by a pattern of biopolitical parasitism, that is, the enhancement of the life of wealthy populations of First World countries on the basis of an active denigration of the lives of the poor mass of humanity. The book details how this dynamic plays out both inside wealthy countries and internationally.

Download or read book Power Politics and Universal Health Care written by Stuart Altman and published by Prometheus Books. This book was released on 2011-09-27 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.

Download or read book The Economics of Public Health Care Reform in Advanced and Emerging Economies written by Mr.David Coady and published by International Monetary Fund. This book was released on 2012-04-13 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using cross-country analysis and case studies, this book provides new insights and potential policy responses for the key fiscal policy challenges that both advanced and emerging economies will be facing.

Download or read book World Bank East Asia and Pacific Economic Update April 2015 written by World Bank and published by World Bank Publications. This book was released on 2015-04-14 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: The East Asia and Pacific Economic Update provides regular, biannual analyses of development trends and economic policy issues across the East Asia and Pacific region.

Download or read book Universal Coverage of Long Term Care in the United States written by Douglas A. Wolfe and published by Russell Sage Foundation. This book was released on 2012-09-01 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: As millions of baby boomers retire and age in the coming years, more American families will confront difficult choices about the long-term care of their loved ones. The swelling ranks of the disabled and elderly who need such care—including home care, adult day care, or a nursing home stay—are faced with a strained, inequitable and expensive system. How will American society and policy adapt to this demographic transition? In Universal Coverage of Long-Term Care in the United States, editors Nancy Folbre and Douglas Wolf and an expert group of care researchers assess the current U.S. long-term care policies and exercise what can be learned from other countries facing similar care demands. After the high-profile suspension of the Obama Administration’s public long-term insurance program in 2011, Robert Hudson and Howard Gleckman provide concrete suggestions for lowering the cost and improving the quality of long-term care coverage in America. In a deeply personal and empirically rigorous analysis, family care expert Carol Levine draws crucial lessons from her experience as a caregiver for her ailing husband. She sheds light on the often fraught interactions that occur between the formal care system and family caregivers and analyzes how public policy can best support long-term family care. The volume next examines recent reforms in other developed countries and finds valuable lessons for American policy-makers. Contributors David Bell and Alison Bowes discuss the provision of personal care services in Scotland, which have been publicly financed since 2002. Their analysis shows that the new program reduced costs improved efficiency and allowed more recipients to receive care. The volume assesses the political and institutional prospects for moving towards a truly universal long-term care system in the United States. Robyn Stone provides a sobering overview of the formal, paid long-term care workforce in America, which is in crisis due to increasing demand and a shortage of qualified workers. Economist Leonard Burman focuses on public finances of the long-term care system, which will come under increasing strain as more Americans rely on Medicaid to pay for their long-term care. In the volume’s concluding chapter, Folbre and Wolf summarize criticisms of existing long-term care policies and outline particular reforms that can move the United States toward a universal system of long-term care insurance. Universal Coverage of Long-Term Care in the United States provides an essential resource on how to improve the long-term care sector in America and helps advance the national debate on this pressing topic. This volume is available for free download on the Foundation’s website, as are the volume’s individual chapters.

Download or read book Healthy China Deepening Health Reform in China written by The World Bank;World Health Organization and published by World Bank Publications. This book was released on 2019-04-04 with total page 662 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.

Download or read book The Transformation of American Health Insurance written by Troyen A. Brennan and published by JHU Press. This book was released on 2024-07-30 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Can American health insurance survive? In The Transformation of American Health Insurance, Troyen A. Brennan traces the historical evolution of public and private health insurance in the United States from the first Blue Cross plans in the late 1930s to reforms under the Biden administration. In analyzing this evolution, he finds long-term trends that form the basis for his central argument: that employer-sponsored insurance is becoming unsustainably expensive, and Medicare for All will emerge as the sole source of health insurance over the next two decades. After thirty years of leadership in health care and academia, Brennan argues that Medicare for All could act as a single-payer program or become a government-regulated program of competing health plans, like today's Medicare Advantage. The choice between these two options will depend on how private insurers adapt and behave in today's changing health policy environment. This critical evolution in the system of financing health care is important to employers, health insurance executives, government officials, and health care providers who are grappling with difficult strategic choices. It is equally important to all Americans as they face an inscrutable health insurance system and wonder what the future might hold for them regarding affordable coverage.

Download or read book China s Long March Toward a Market Economy written by Jinglian Wu and published by LONG RIVER PRESS. This book was released on 2005 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: International interest in China is increasing. Not surprisingly, China-related news is hitting the headlines of leading international media. This is well grounded, given the fact that China is the largest developing country in the world with almost a quarter of the world's population. However, many reports on China are self-contradictory, which again reveals the complexities of a nation that has experienced dramatic change for over a century. For the outsider, it is virtually impossible to follow China's overriding trends of change without understanding its past and present. This book provides a chronological record of the major changes that have taken place in the Chinese economy over the past five decades.

Download or read book Urbanization And Public Health In China written by Mu Li and published by World Scientific. This book was released on 2015-11-13 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urbanization has dominated China's development landscape in recent decades, yet the human costs of this economic achievement are largely ignored in commentaries on the subject.Urbanization and Public Health in China seeks to redress this imbalance by bringing together academics and researchers from across China and Australia to offer fresh perspectives on public health issues resulting from urbanization. The analyses focus on issues of unequal access to health services by the most vulnerable groups: the elderly and rural-to-urban migrants. The book explores these issues through demographic, epidemiological and environmental change in China over the past three decades and identifies solutions to create a healthier living environment in urban China.Other countries undergoing similar rapid urbanization can learn vital lessons from these challenges and solutions. This book provides a comprehensive overview for academics and researchers working on urbanization in developing nations, as well as a reference point for policy makers and public health practitioners.

Download or read book Navigating Health Insurance written by Alexis Pozen and published by Jones & Bartlett Learning. This book was released on 2017-02-24 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.