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Penguatan Pelayanan Primer Melalui Optimalisasi Pemenfaatan Sisa Dana Kapitasi, Redistribusi Kepesertaan Dan Penegakan Sistem Rujukan Balik

Announcements, Health Insurance (CBHI, SHI), Publications

Resource Type: Brief Authors: Laksono Trisnantoro, Likke Prawidya Putri, Shita Listyadewi, Christa Dewi, M. Faozi Kurniawan, Yanti Leosari, Budi Eko Siswoyo, Insan Rekso Adiwibowo Published: October 2016 Resource Description: Jaminan Kesehatan Nasional (JKN) telah berjalan selama kurang lebih 3 tahu. Kendati pemerintah telah mengeluarkan berbagai regulasi guna mendukung pelaksanaan JKN, masih banyak tantangan yang dihapi oleh Fasilitas Kesehatan Tingkat Pertama (FKYP) sebagai gatekeeper dalam […]

Strengthening Primary Care as the Foundation of JKN

Health Insurance (CBHI, SHI), Home Page Map, Publications, Where We Work

Central to the vision of JKN and the Government of Indonesia’s commitment to enhancing the health of all of its citizens is strengthening the role of primary care to prevent, treat and manage health conditions. How it is working, what the challenges are, and where might changes to regulations or operationalization of JKN contribute to […]

Clincs in Addis

Linkages Between the Essential Health Services Package and Government-Sponsored Health Benefit Plans in Ethiopia

Health Insurance (CBHI, SHI), Home Page Map, Publications, Where We Work

This case study is part of the Essential Health Services Country Snapshot Series. Resource Type: Case Study Authors: Adam Koon, Jenna Wright Published: June 2017 Resource Description: Priority setting is a key function of health systems that seek to achieve universal health coverage. The Essential Health Services Package (EHSP) explicitly prioritizes certain services; government-sponsored health benefit plans […]

Financing of Universal Health Coverage and Family Planning: A Multi-Regional Landscape Study and Analysis – Mali

Family Planning and Reproductive Health, Health Finance, Health Insurance (CBHI, SHI), Publications, Universal Health Coverage, Where We Work

Recognizing that a healthy population promotes economic development, resilience, and strength, many governments have started pursuing a universal health coverage (UHC) agenda. The international community, national governments, and private organizations and individuals are converging on the principle that universal access to family planning is a goal worthy of increased financial investment. Improved access to family […]

Pathways to Universal Health Coverage: Lessons from Government-Sponsored and Community-Based Health Insurance Schemes in India

Health Insurance (CBHI, SHI), Home Page Map, Publications

Resource Type: Brief Authors: The Health Finance and Governance Project Published: February 2017 Resource Description: India’s health sector continues to be challenged by overall low levels of public financing and disproportionate reliance on private resources. High out-of-pocket (OOP) spending by households, almost 60 percent of total health expenditure, restricts access to quality health care for many low-income families […]

Implementation Research Jaminan Kesehatan Nasional Policy

Health Insurance (CBHI, SHI), Home Page Map, Publications, Where We Work

This infographic describes the 2016 study on how to assess JKN regulations in primary care that have been implemented at district level, particularly regulations on capitation fund management. Capitation is a prospective payment system paid by BPJS Kesehatan to primary health care facilities to provide health services to JKN members enrolled in those facilities regardless […]

Essential Packages of Health Services in 24 Countries: Findings from a Cross-Country Analysis

Health Insurance (CBHI, SHI), Maternal, Neonatal and Child Health (MNCH), Publications

Resource Type: Report Authors: Jenna Wright, Jeanna Holtz Published: June 2017 Resource Description: Every country has finite resources for providing health care to its citizens. Policymakers are faced with a need to determine where to target limited resources. Explicitly prioritizing certain health care services and technologies can enable low- and middle-income countries to reach key development and public health goals […]

Navigating the Health Financing Challenge in India: Lessons from Mutuals, Cooperatives, and Community-based Organizations

Health Insurance (CBHI, SHI), Home Page Map, Publications, Where We Work

This brief examines a study on the relevance of diverse mutuals, cooperatives, and community-based organizations (MCCOs) in India’s health insurance landscape and identifies the factors that hinder their expansion as well as the strategies that can propel their growth. Lessons learned and the role MCCOs play in strengthening the country’s financial protection system are presented.

Le financement de la couverture sanitaire universelle et de la planification familiale: Étude panoramique multirégionale et analyse – Guinée

Family Planning and Reproductive Health, Health Finance, Health Insurance (CBHI, SHI), Publications, Universal Health Coverage, Where We Work

Reconnaissant qu’une population en bonne santé est favorable au développement économique, à la résilience et à la prospérité, de nombreux gouvernements se sont lancés sur la voie de la couverture sanitaire universelle (CSU). La communauté internationale, les gouvernements nationaux et de nombreuses organisations privées et personnes physiques convergent sur le principe selon lequel l’accès universel […]

Actuarial Analysis Related to Development of Vietnam’s Social Health Insurance Benefit Package

Health Insurance (CBHI, SHI), Home Page Map, Publications, Where We Work

This is the executive summary of a report that documents Actuarial Analysis related to the development of a Basic Health Service Package (BHSP) for Social Health Insurance (SHI) in Vietnam. It attempts to answer the following key questions: What is the disease burden based on cost for SHI in Vietnam? What are the top five […]

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