Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems.
TLDR
The proposals pertain to the demand for and the supply of health care in the community; to the technical, managerial and institutional set‐up of CHI; and to the rational use of subsidies.Abstract:
We studied the potential of community-based health insurance (CHI) to contribute to the performance of health financing systems. The international empirical evidence is analysed on the basis of the three health financing subfunctions as outlined in the World Health Report 2000: revenue collection, pooling of resources and purchasing of services. The evidence indicates that achievements of CHI in each of these subfunctions so far have been modest, although many CHI schemes still are relatively young and would need more time to develop. We present an overview of the main factors influencing the performance of CHI on these financing subfunctions and discuss a set of proposals to increase CHI performance. The proposals pertain to the demand for and the supply of health care in the community; to the technical, managerial and institutional set-up of CHI; and to the rational use of subsidies.read more
Citations
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References
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TL;DR: The authors examines the experience with alternative mechanisms for service delivery, contracting out to the private and NGO sectors, community participation, co-financing by service beneficiaries and shows that this, as well as the experience of more traditional public sector provision, can be interpreted by looking at three principal-agent relationships in the service-delivery chain: between policymakers and providers, between clients and providers; and between clients (as citizens) and policymakers.
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The Anatomy of Health Insurance
TL;DR: The anatomy of health insurance can be found in this article, where the authors consider the optimal design of a health insurance policy that makes tradeoffs appropriately between risk sharing on the one hand and agency problems such as moral hazard and supplier-induced demand on the other.
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Community-based health insurance in low-income countries: a systematic review of the evidence
TL;DR: The main policy implication of the review is that these types of community financing arrangements are, at best, complementary to other more effective systems of health financing.
Journal ArticleDOI
Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges
TL;DR: Assessment of the Self Employed Women's Association's Medical Insurance Fund in Gujarat in terms of insurance coverage according to income groups, protection of claimants from costs of hospitalization, time between discharge and reimbursement, and frequency of use has implications for community-based health insurance schemes in India and elsewhere.