Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints

Thailand's model of health financing and its ability to rapidly expand health insurance coverage to its entire population presents an interesting case study. Even though it is still a middle-income country with limited fiscal resources, the country managed to reach universal health insurance co...

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Main Author:	Hanvoravongchai, Piya
Format:	Working Paper
Language:	en_US
Published:	World Bank,Washington DC 2013
Subjects:	access to health care access to services adult mortality Adult mortality rate adverse selection adverse selection problems aged big cities budget allocation budget cap budget ceiling budget constraints budget increase budgetary impact capitation capitation payment cataract surgery catastrophic health expenditure catastrophic health spending Center for Health cervical cancer cervical cancer screening child survival choice of provider cities citizens civil society organizations clinical staff clinics Communicable diseases community health cost control cost sharing cost-effectiveness costs of health care Decision making demand for services developing countries diabetes diagnosis Drug Administration Drug List drug supply drugs early detection elderly emergencies emergency medical care emergency services ethical considerations families fee schedule fee schedules Financial impact financial incentives financial risk financial risks Global Health Health Affairs health care health care centers health care finance health care financing Health Care Information health care provider health care providers health care provision Health Care Reform health care services Health Care System health care utilization health centers health conditions Health Coverage Health Expenditure health facilities Health Financing Health Financing Reform health financing system health funding health information health insurance health insurance program health insurance schemes health insurance system health interventions health needs Health Organization health outcomes Health Policy health posts health professionals health promotion Health Reforms health sector health service Health Services health spending share Health System health system performance health systems Health Systems Research health workers health workforce healthcare healthcare services HIV/AIDS hospital Hospital Accreditation hospital beds hospitals household surveys hypertension ill health Immunization incentive payments incidence analysis income income countries infant infant mortality Infant mortality rate informal sector informal sector workers information system injuries inpatient admission inpatient care Intervention large population liability life expectancy Life expectancy at birth Medical Benefit medical doctors Medical Services medication medicines Mental Health Ministry of Education moral hazard morbidity mortality national campaign National Health national health spending national policy nationals number of people nurses nursing outpatient care outpatient services patient patient participation patients pharmaceutical companies pharmacists Pharmacoeconomics Physician Physicians pocket payments policy makers political climate Political leadership political party pregnant women prescriptions primary care private clinics private hospitals private insurers private pharmacies private sector provider payment provision of care Public Health public health care public health insurance public health insurance scheme public health services public hospitals public insurance public insurance schemes public providers public schemes public sector purchaser-provider split quality care Quality Control quality improvement quality of care rehabilitation research community richer populations rural areas screening service providers service provision share of public spending small enterprises Social Security surgery technical capacity therapeutics treatments Tuberculosis universal access universal health insurance coverage urban areas user fees vaccinations Visits workers World Health Organization
Online Access:	http://hdl.handle.net/10986/13298

id	okr-10986-13298
recordtype	oai_dc
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	access to health care access to services adult mortality Adult mortality rate adverse selection adverse selection problems aged big cities budget allocation budget cap budget ceiling budget constraints budget increase budgetary impact capitation capitation payment cataract surgery catastrophic health expenditure catastrophic health spending Center for Health cervical cancer cervical cancer screening child survival choice of provider cities citizens civil society organizations clinical staff clinics Communicable diseases community health cost control cost sharing cost-effectiveness costs of health care Decision making demand for services developing countries diabetes diagnosis Drug Administration Drug List drug supply drugs early detection elderly emergencies emergency medical care emergency services ethical considerations families fee schedule fee schedules Financial impact financial incentives financial risk financial risks Global Health Health Affairs health care health care centers health care finance health care financing Health Care Information health care provider health care providers health care provision Health Care Reform health care services Health Care System health care utilization health centers health conditions Health Coverage Health Expenditure health facilities Health Financing Health Financing Reform health financing system health funding health information health insurance health insurance program health insurance schemes health insurance system health interventions health needs Health Organization health outcomes Health Policy health posts health professionals health promotion Health Reforms health sector health service Health Services health spending share Health System health system performance health systems Health Systems Research health workers health workforce healthcare healthcare services HIV/AIDS hospital Hospital Accreditation hospital beds hospitals household surveys hypertension ill health Immunization incentive payments incidence analysis income income countries infant infant mortality Infant mortality rate informal sector informal sector workers information system injuries inpatient admission inpatient care Intervention large population liability life expectancy Life expectancy at birth Medical Benefit medical doctors Medical Services medication medicines Mental Health Ministry of Education moral hazard morbidity mortality national campaign National Health national health spending national policy nationals number of people nurses nursing outpatient care outpatient services patient patient participation patients pharmaceutical companies pharmacists Pharmacoeconomics Physician Physicians pocket payments policy makers political climate Political leadership political party pregnant women prescriptions primary care private clinics private hospitals private insurers private pharmacies private sector provider payment provision of care Public Health public health care public health insurance public health insurance scheme public health services public hospitals public insurance public insurance schemes public providers public schemes public sector purchaser-provider split quality care Quality Control quality improvement quality of care rehabilitation research community richer populations rural areas screening service providers service provision share of public spending small enterprises Social Security surgery technical capacity therapeutics treatments Tuberculosis universal access universal health insurance coverage urban areas user fees vaccinations Visits workers World Health Organization
spellingShingle	access to health care access to services adult mortality Adult mortality rate adverse selection adverse selection problems aged big cities budget allocation budget cap budget ceiling budget constraints budget increase budgetary impact capitation capitation payment cataract surgery catastrophic health expenditure catastrophic health spending Center for Health cervical cancer cervical cancer screening child survival choice of provider cities citizens civil society organizations clinical staff clinics Communicable diseases community health cost control cost sharing cost-effectiveness costs of health care Decision making demand for services developing countries diabetes diagnosis Drug Administration Drug List drug supply drugs early detection elderly emergencies emergency medical care emergency services ethical considerations families fee schedule fee schedules Financial impact financial incentives financial risk financial risks Global Health Health Affairs health care health care centers health care finance health care financing Health Care Information health care provider health care providers health care provision Health Care Reform health care services Health Care System health care utilization health centers health conditions Health Coverage Health Expenditure health facilities Health Financing Health Financing Reform health financing system health funding health information health insurance health insurance program health insurance schemes health insurance system health interventions health needs Health Organization health outcomes Health Policy health posts health professionals health promotion Health Reforms health sector health service Health Services health spending share Health System health system performance health systems Health Systems Research health workers health workforce healthcare healthcare services HIV/AIDS hospital Hospital Accreditation hospital beds hospitals household surveys hypertension ill health Immunization incentive payments incidence analysis income income countries infant infant mortality Infant mortality rate informal sector informal sector workers information system injuries inpatient admission inpatient care Intervention large population liability life expectancy Life expectancy at birth Medical Benefit medical doctors Medical Services medication medicines Mental Health Ministry of Education moral hazard morbidity mortality national campaign National Health national health spending national policy nationals number of people nurses nursing outpatient care outpatient services patient patient participation patients pharmaceutical companies pharmacists Pharmacoeconomics Physician Physicians pocket payments policy makers political climate Political leadership political party pregnant women prescriptions primary care private clinics private hospitals private insurers private pharmacies private sector provider payment provision of care Public Health public health care public health insurance public health insurance scheme public health services public hospitals public insurance public insurance schemes public providers public schemes public sector purchaser-provider split quality care Quality Control quality improvement quality of care rehabilitation research community richer populations rural areas screening service providers service provision share of public spending small enterprises Social Security surgery technical capacity therapeutics treatments Tuberculosis universal access universal health insurance coverage urban areas user fees vaccinations Visits workers World Health Organization Hanvoravongchai, Piya Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
geographic_facet	East Asia and Pacific Thailand
relation	UNICO Study Series;No. 20
description	Thailand's model of health financing and its ability to rapidly expand health insurance coverage to its entire population presents an interesting case study. Even though it is still a middle-income country with limited fiscal resources, the country managed to reach universal health insurance coverage through three main public schemes: the Universal Coverage Scheme (UCS), the Social Security Scheme (SSS), and the Civil Servant Medical Benefit Scheme (CSMBS). The UCS, which is the largest and most instrumental scheme in the expansion of coverage to the poor and to those in the informal sector, is the focus of this report. It describes the nuts and bolts of the UCS as a key component of the health financing system in Thailand. It analyzes Thailand's experience in health insurance coverage expansion within limited fiscal constraints through various mechanisms to contain costs. It also explores the two commonly discussed approaches for the universal coverage movement: the expansion model (starting from covering the poor and formal sector to universal coverage) and the comprehensive approach (covering the entire population at the same time).
format	Publications & Research :: Working Paper
author	Hanvoravongchai, Piya
author_facet	Hanvoravongchai, Piya
author_sort	Hanvoravongchai, Piya
title	Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
title_short	Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
title_full	Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
title_fullStr	Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
title_full_unstemmed	Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints
title_sort	health financing reform in thailand : toward universal coverage under fiscal constraints
publisher	World Bank,Washington DC
publishDate	2013
url	http://hdl.handle.net/10986/13298
_version_	1764423132246966272
spelling	okr-10986-132982021-04-23T14:03:07Z Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints Hanvoravongchai, Piya access to health care access to services adult mortality Adult mortality rate adverse selection adverse selection problems aged big cities budget allocation budget cap budget ceiling budget constraints budget increase budgetary impact capitation capitation payment cataract surgery catastrophic health expenditure catastrophic health spending Center for Health cervical cancer cervical cancer screening child survival choice of provider cities citizens civil society organizations clinical staff clinics Communicable diseases community health cost control cost sharing cost-effectiveness costs of health care Decision making demand for services developing countries diabetes diagnosis Drug Administration Drug List drug supply drugs early detection elderly emergencies emergency medical care emergency services ethical considerations families fee schedule fee schedules Financial impact financial incentives financial risk financial risks Global Health Health Affairs health care health care centers health care finance health care financing Health Care Information health care provider health care providers health care provision Health Care Reform health care services Health Care System health care utilization health centers health conditions Health Coverage Health Expenditure health facilities Health Financing Health Financing Reform health financing system health funding health information health insurance health insurance program health insurance schemes health insurance system health interventions health needs Health Organization health outcomes Health Policy health posts health professionals health promotion Health Reforms health sector health service Health Services health spending share Health System health system performance health systems Health Systems Research health workers health workforce healthcare healthcare services HIV/AIDS hospital Hospital Accreditation hospital beds hospitals household surveys hypertension ill health Immunization incentive payments incidence analysis income income countries infant infant mortality Infant mortality rate informal sector informal sector workers information system injuries inpatient admission inpatient care Intervention large population liability life expectancy Life expectancy at birth Medical Benefit medical doctors Medical Services medication medicines Mental Health Ministry of Education moral hazard morbidity mortality national campaign National Health national health spending national policy nationals number of people nurses nursing outpatient care outpatient services patient patient participation patients pharmaceutical companies pharmacists Pharmacoeconomics Physician Physicians pocket payments policy makers political climate Political leadership political party pregnant women prescriptions primary care private clinics private hospitals private insurers private pharmacies private sector provider payment provision of care Public Health public health care public health insurance public health insurance scheme public health services public hospitals public insurance public insurance schemes public providers public schemes public sector purchaser-provider split quality care Quality Control quality improvement quality of care rehabilitation research community richer populations rural areas screening service providers service provision share of public spending small enterprises Social Security surgery technical capacity therapeutics treatments Tuberculosis universal access universal health insurance coverage urban areas user fees vaccinations Visits workers World Health Organization Thailand's model of health financing and its ability to rapidly expand health insurance coverage to its entire population presents an interesting case study. Even though it is still a middle-income country with limited fiscal resources, the country managed to reach universal health insurance coverage through three main public schemes: the Universal Coverage Scheme (UCS), the Social Security Scheme (SSS), and the Civil Servant Medical Benefit Scheme (CSMBS). The UCS, which is the largest and most instrumental scheme in the expansion of coverage to the poor and to those in the informal sector, is the focus of this report. It describes the nuts and bolts of the UCS as a key component of the health financing system in Thailand. It analyzes Thailand's experience in health insurance coverage expansion within limited fiscal constraints through various mechanisms to contain costs. It also explores the two commonly discussed approaches for the universal coverage movement: the expansion model (starting from covering the poor and formal sector to universal coverage) and the comprehensive approach (covering the entire population at the same time). 2013-05-06T15:43:08Z 2013-05-06T15:43:08Z 2013-01 http://hdl.handle.net/10986/13298 en_US UNICO Study Series;No. 20 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank,Washington DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Thailand

Health Financing Reform in Thailand : Toward Universal Coverage under Fiscal Constraints

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