Special Issues with Single-Payer Health Insurance Systems
Health insurance systems have been broadly classified into two groups based on the number of insurance pools: single-payer and multiple-payer systems. In single-payer systems, one organization-typically the government-collects and pools revenues an...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2004/09/5652820/special-issues-single-payer-health-insurance-systems http://hdl.handle.net/10986/13686 |
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okr-10986-136862021-04-23T14:03:09Z Special Issues with Single-Payer Health Insurance Systems Anderson, Gerard F. Hussey, Peter ACCESS TO HEALTH SERVICES ADVERSE SELECTION CAPITAL PROJECTS CLINICS DENTAL CARE DISEASE CONTROL DOCTORS ECONOMIC CONSTRAINTS ECONOMIC EFFICIENCY EMPLOYMENT FAMILIES FINANCIAL CONTROL FINANCIAL INCENTIVES FREE CHOICE GLOBAL BUDGETS HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE INSURANCE HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INFORMATION HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURERS HEALTH NEEDS HEALTH PLANS HEALTH POLICY HEALTH RISK HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOME CARE HOSPITAL BEDS HOSPITAL ROOMS HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INCOME TAXES INJURY INNOVATION INPATIENT CARE INSURANCE SYSTEMS INSURERS LESSONS LEARNED LOTTERY MANAGERS MEDICAL ASSOCIATIONS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL TECHNOLOGIES MENTAL HEALTH MENTAL HEALTH CARE MUNICIPALITIES NATIONAL HEALTH INSURANCE NUTRITION PATIENTS PHYSICIANS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROMOTING HEALTH PROVINCIAL GOVERNMENTS PROVISIONS PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC REVENUES PUBLIC SECTOR PUBLIC SECTOR ACCOUNTABILITY PUBLIC SECTOR PERFORMANCE PUBLIC SPENDING QUALITY OF CARE REHABILITATION RESOURCE ALLOCATION REVENUE COLLECTION REVENUE SOURCES SALES TAXES SERVICE DELIVERY SOCIAL CAPITAL SOCIAL INSURANCE SOCIAL SERVICES SOCIAL WELFARE TAX TAX RATES TAX REVENUES TAXATION USER CHARGES WORKERS Health insurance systems have been broadly classified into two groups based on the number of insurance pools: single-payer and multiple-payer systems. In single-payer systems, one organization-typically the government-collects and pools revenues and purchases health services for the entire population, while in multiple-payer systems several organizations carry out these roles for specific segments of the population. This paper examines the organization and operation of single-payer health insurance systems. We classify single-payer systems into four generic models: regional/private, regional/public, central/private, and central/public. The differences between these models are the level of centralization of financing and administration of health care (regional or central) and the ownership of health care providers (mainly public or mainly private). These four models are compared in four topic areas: revenue collection, risk pooling, purchasing, and social solidarity. The single-payer models are then contrasted with systems that use multiple-payer models. The comparisons are made in the same four topics: revenue collection, risk pooling, purchasing, and social solidarity. The paper concludes with a discussion of specific issues for low- and middle-income countries considering a choice between single- and multiple-payer systems. 2013-05-30T15:32:06Z 2013-05-30T15:32:06Z 2004-09 http://documents.worldbank.org/curated/en/2004/09/5652820/special-issues-single-payer-health-insurance-systems http://hdl.handle.net/10986/13686 English en_US Health, Nutrition and Population (HNP) discussion paper; 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 |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO HEALTH SERVICES ADVERSE SELECTION CAPITAL PROJECTS CLINICS DENTAL CARE DISEASE CONTROL DOCTORS ECONOMIC CONSTRAINTS ECONOMIC EFFICIENCY EMPLOYMENT FAMILIES FINANCIAL CONTROL FINANCIAL INCENTIVES FREE CHOICE GLOBAL BUDGETS HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE INSURANCE HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INFORMATION HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURERS HEALTH NEEDS HEALTH PLANS HEALTH POLICY HEALTH RISK HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOME CARE HOSPITAL BEDS HOSPITAL ROOMS HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INCOME TAXES INJURY INNOVATION INPATIENT CARE INSURANCE SYSTEMS INSURERS LESSONS LEARNED LOTTERY MANAGERS MEDICAL ASSOCIATIONS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL TECHNOLOGIES MENTAL HEALTH MENTAL HEALTH CARE MUNICIPALITIES NATIONAL HEALTH INSURANCE NUTRITION PATIENTS PHYSICIANS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROMOTING HEALTH PROVINCIAL GOVERNMENTS PROVISIONS PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC REVENUES PUBLIC SECTOR PUBLIC SECTOR ACCOUNTABILITY PUBLIC SECTOR PERFORMANCE PUBLIC SPENDING QUALITY OF CARE REHABILITATION RESOURCE ALLOCATION REVENUE COLLECTION REVENUE SOURCES SALES TAXES SERVICE DELIVERY SOCIAL CAPITAL SOCIAL INSURANCE SOCIAL SERVICES SOCIAL WELFARE TAX TAX RATES TAX REVENUES TAXATION USER CHARGES WORKERS |
| spellingShingle |
ACCESS TO HEALTH SERVICES ADVERSE SELECTION CAPITAL PROJECTS CLINICS DENTAL CARE DISEASE CONTROL DOCTORS ECONOMIC CONSTRAINTS ECONOMIC EFFICIENCY EMPLOYMENT FAMILIES FINANCIAL CONTROL FINANCIAL INCENTIVES FREE CHOICE GLOBAL BUDGETS HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE INSURANCE HEALTH CARE PROVIDERS HEALTH CARE SYSTEMS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INFORMATION HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURERS HEALTH NEEDS HEALTH PLANS HEALTH POLICY HEALTH RISK HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOME CARE HOSPITAL BEDS HOSPITAL ROOMS HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INCOME TAXES INJURY INNOVATION INPATIENT CARE INSURANCE SYSTEMS INSURERS LESSONS LEARNED LOTTERY MANAGERS MEDICAL ASSOCIATIONS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL TECHNOLOGIES MENTAL HEALTH MENTAL HEALTH CARE MUNICIPALITIES NATIONAL HEALTH INSURANCE NUTRITION PATIENTS PHYSICIANS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROMOTING HEALTH PROVINCIAL GOVERNMENTS PROVISIONS PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC REVENUES PUBLIC SECTOR PUBLIC SECTOR ACCOUNTABILITY PUBLIC SECTOR PERFORMANCE PUBLIC SPENDING QUALITY OF CARE REHABILITATION RESOURCE ALLOCATION REVENUE COLLECTION REVENUE SOURCES SALES TAXES SERVICE DELIVERY SOCIAL CAPITAL SOCIAL INSURANCE SOCIAL SERVICES SOCIAL WELFARE TAX TAX RATES TAX REVENUES TAXATION USER CHARGES WORKERS Anderson, Gerard F. Hussey, Peter Special Issues with Single-Payer Health Insurance Systems |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
Health insurance systems have been
broadly classified into two groups based on the number of
insurance pools: single-payer and multiple-payer systems. In
single-payer systems, one organization-typically the
government-collects and pools revenues and purchases health
services for the entire population, while in multiple-payer
systems several organizations carry out these roles for
specific segments of the population. This paper examines the
organization and operation of single-payer health insurance
systems. We classify single-payer systems into four generic
models: regional/private, regional/public, central/private,
and central/public. The differences between these models are
the level of centralization of financing and administration
of health care (regional or central) and the ownership of
health care providers (mainly public or mainly private).
These four models are compared in four topic areas: revenue
collection, risk pooling, purchasing, and social solidarity.
The single-payer models are then contrasted with systems
that use multiple-payer models. The comparisons are made in
the same four topics: revenue collection, risk pooling,
purchasing, and social solidarity. The paper concludes with
a discussion of specific issues for low- and middle-income
countries considering a choice between single- and
multiple-payer systems. |
| format |
Publications & Research :: Working Paper |
| author |
Anderson, Gerard F. Hussey, Peter |
| author_facet |
Anderson, Gerard F. Hussey, Peter |
| author_sort |
Anderson, Gerard F. |
| title |
Special Issues with Single-Payer Health Insurance Systems |
| title_short |
Special Issues with Single-Payer Health Insurance Systems |
| title_full |
Special Issues with Single-Payer Health Insurance Systems |
| title_fullStr |
Special Issues with Single-Payer Health Insurance Systems |
| title_full_unstemmed |
Special Issues with Single-Payer Health Insurance Systems |
| title_sort |
special issues with single-payer health insurance systems |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/09/5652820/special-issues-single-payer-health-insurance-systems http://hdl.handle.net/10986/13686 |
| _version_ |
1764424188369567744 |