Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options

To address the growth in resultant out-of-pocket (OOP) payments and associated problems of financial barriers to access, the government issued several policies aimed at expanding coverage throughout the 1990s and 2000s, particularly for the poor an...

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Main Authors: Somanathan, Aparnaa, Tandon, Ajay, Dao, Huong Lan, Hurt, Kari L., Fuenzalida-Puelma, Hernan L.
Format: Publication
Language:English
en_US
Published: Washington, DC: World Bank 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2014/06/19776955/moving-toward-universal-coverage-social-health-insurance-vietnam-assessment-options
http://hdl.handle.net/10986/18885
id okr-10986-18885
recordtype oai_dc
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 ABILITY TO PAY
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
ADMINISTRATIVE EFFICIENCY
ADVERSE SELECTION
AGED
AGING
AUDITORS
BUDGETARY IMPACT
BUDGETARY RESOURCES
CAPITATION
CAPITATION PAYMENTS
CASE MANAGEMENT
CATASTROPHIC HEALTH SPENDING
CHILD HEALTH
CITIES
CLINICAL PRACTICE
COMPETENCIES
CONSULTATION PROCESS
CONSUMERS
CONTRIBUTION RATE
CONTRIBUTORY INSURANCE
COST EFFECTIVENESS
COUNSELING
DELIVERY SYSTEM
DEMAND FOR HEALTH
DEMAND FOR HEALTH CARE
DIAGNOSIS
DIAGNOSTIC ASSESSMENT
DRUGS
EMPLOYMENT
ENROLLEES
ENTITLEMENT
EPIDEMIOLOGICAL TRANSITION
EXPANSION OF COVERAGE
EXPENDITURES
FAMILIES
FEE SCHEDULES
FEE-FOR-SERVICE
FINANCIAL BARRIERS
FINANCIAL CATASTROPHE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RISK
FLAT RATE
GYNECOLOGY
HARD TO REACH GROUPS
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE FINANCING
HEALTH CARE PROFESSIONALS
HEALTH CARE PROVIDER
HEALTH CARE USE
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH INSURANCE
HEALTH INSURANCE COVERAGE
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH INSURANCE SCHEMES
HEALTH INSURANCE SYSTEM
HEALTH INTERVENTIONS
HEALTH ORGANIZATION
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROJECT
HEALTH PURCHASERS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE PROVIDERS
HEALTH SERVICES
HEALTH SHARE
HEALTH SPENDING
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM FINANCING
HEALTH SYSTEM GOALS
HEALTH SYSTEM STRENGTHENING
HEALTH SYSTEMS
HEALTH SYSTEMS STRENGTHENING
HEALTH WORKERS
HEALTHCARE
HEALTHCARE SERVICES
HOSPITAL BEDS
HOSPITAL REVENUES
HOSPITAL SERVICES
HOSPITALS
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RESOURCES DEVELOPMENT
ILLNESS
IMMUNODEFICIENCY
INCENTIVES FACING PROVIDERS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INFORMAL SECTOR
INFORMAL SECTOR WORKERS
INFORMATION SYSTEMS
INPATIENT ADMISSION
INSURANCE LAW
INSURANCE POLICIES
INSURANCE PREMIUM
INSURANCE PREMIUMS
LAWS
LIBERALIZATION
LIVING STANDARDS
LOW-INCOME COUNTRIES
MEDICAL BENEFIT
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL TRAINING
MEDICINES
MIGRANTS
MIGRATION
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NEEDS ASSESSMENT
NURSES
NUTRITION
PATIENTS
PHARMACEUTICAL COSTS
PHARMACEUTICAL SECTOR
PHARMACEUTICAL SPENDING
PHARMACISTS
PHYSICIANS
POCKET PAYMENTS
POLICY DISCUSSIONS
POLICY RESEARCH
PRIMARY CARE
PRIMARY HEALTH CARE
PROBABILITY
PROGRAMS
PROVIDER PAYMENT
PROVISION OF SERVICES
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC HOSPITAL
PUBLIC SPENDING
QUALITY OF CARE
REIMBURSEMENT RATES
RISK GROUPS
SAVINGS
SCREENING
SOCIAL ASSISTANCE
SOCIAL HEALTH INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL WORKERS
SUSTAINABILITY
TUBERCULOSIS
VACCINATION
WORKERS
spellingShingle ABILITY TO PAY
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
ADMINISTRATIVE EFFICIENCY
ADVERSE SELECTION
AGED
AGING
AUDITORS
BUDGETARY IMPACT
BUDGETARY RESOURCES
CAPITATION
CAPITATION PAYMENTS
CASE MANAGEMENT
CATASTROPHIC HEALTH SPENDING
CHILD HEALTH
CITIES
CLINICAL PRACTICE
COMPETENCIES
CONSULTATION PROCESS
CONSUMERS
CONTRIBUTION RATE
CONTRIBUTORY INSURANCE
COST EFFECTIVENESS
COUNSELING
DELIVERY SYSTEM
DEMAND FOR HEALTH
DEMAND FOR HEALTH CARE
DIAGNOSIS
DIAGNOSTIC ASSESSMENT
DRUGS
EMPLOYMENT
ENROLLEES
ENTITLEMENT
EPIDEMIOLOGICAL TRANSITION
EXPANSION OF COVERAGE
EXPENDITURES
FAMILIES
FEE SCHEDULES
FEE-FOR-SERVICE
FINANCIAL BARRIERS
FINANCIAL CATASTROPHE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RISK
FLAT RATE
GYNECOLOGY
HARD TO REACH GROUPS
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE FINANCING
HEALTH CARE PROFESSIONALS
HEALTH CARE PROVIDER
HEALTH CARE USE
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH INSURANCE
HEALTH INSURANCE COVERAGE
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH INSURANCE SCHEMES
HEALTH INSURANCE SYSTEM
HEALTH INTERVENTIONS
HEALTH ORGANIZATION
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROJECT
HEALTH PURCHASERS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE PROVIDERS
HEALTH SERVICES
HEALTH SHARE
HEALTH SPENDING
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM FINANCING
HEALTH SYSTEM GOALS
HEALTH SYSTEM STRENGTHENING
HEALTH SYSTEMS
HEALTH SYSTEMS STRENGTHENING
HEALTH WORKERS
HEALTHCARE
HEALTHCARE SERVICES
HOSPITAL BEDS
HOSPITAL REVENUES
HOSPITAL SERVICES
HOSPITALS
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RESOURCES DEVELOPMENT
ILLNESS
IMMUNODEFICIENCY
INCENTIVES FACING PROVIDERS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INFORMAL SECTOR
INFORMAL SECTOR WORKERS
INFORMATION SYSTEMS
INPATIENT ADMISSION
INSURANCE LAW
INSURANCE POLICIES
INSURANCE PREMIUM
INSURANCE PREMIUMS
LAWS
LIBERALIZATION
LIVING STANDARDS
LOW-INCOME COUNTRIES
MEDICAL BENEFIT
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL TRAINING
MEDICINES
MIGRANTS
MIGRATION
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NEEDS ASSESSMENT
NURSES
NUTRITION
PATIENTS
PHARMACEUTICAL COSTS
PHARMACEUTICAL SECTOR
PHARMACEUTICAL SPENDING
PHARMACISTS
PHYSICIANS
POCKET PAYMENTS
POLICY DISCUSSIONS
POLICY RESEARCH
PRIMARY CARE
PRIMARY HEALTH CARE
PROBABILITY
PROGRAMS
PROVIDER PAYMENT
PROVISION OF SERVICES
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
PUBLIC HOSPITAL
PUBLIC SPENDING
QUALITY OF CARE
REIMBURSEMENT RATES
RISK GROUPS
SAVINGS
SCREENING
SOCIAL ASSISTANCE
SOCIAL HEALTH INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL WORKERS
SUSTAINABILITY
TUBERCULOSIS
VACCINATION
WORKERS
Somanathan, Aparnaa
Tandon, Ajay
Dao, Huong Lan
Hurt, Kari L.
Fuenzalida-Puelma, Hernan L.
Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
geographic_facet East Asia and Pacific
Vietnam
relation Directions in Development--Human Development;
description To address the growth in resultant out-of-pocket (OOP) payments and associated problems of financial barriers to access, the government issued several policies aimed at expanding coverage throughout the 1990s and 2000s, particularly for the poor and other vulnerable groups. Universal coverage (UC) can be an elusive concept and is about three objectives: (a) equity (linking care to need, and not to ability to pay); (b) financial protection (ensuring that health care use does not lead to impoverishment); (c) effective access to a comprehensive set of quality services (ensuring that providers make the right diagnosis and prescribe a treatment that is appropriate and affordable; and (d) to ensure that the financing needed to achieve UC is mobilized in a fiscally sustainable manner, and is used efficiently and equitably. The objective of this report is to assess the implementation of Vietnam social health insurance (SHI) and provide options for moving toward UC, with a view to contributing to the law revision process. It analyzes progress to date on the two major goals of the master plan. The report assesses Vietnam's readiness to meet these goals, the challenges it will face in achieving UC, and key reforms needed to overcome those challenges. It does so through a health financing lens, focusing on how resources are mobilized, pooled, and allocated, and how services are purchased. The report also examines the stewardship of financing that is, the organization, management, and governance of SHI as it has direct implications for achieving UC. The report ends by pulling together the recommendations in the form of an implementation road map.
format Publications & Research :: Publication
author Somanathan, Aparnaa
Tandon, Ajay
Dao, Huong Lan
Hurt, Kari L.
Fuenzalida-Puelma, Hernan L.
author_facet Somanathan, Aparnaa
Tandon, Ajay
Dao, Huong Lan
Hurt, Kari L.
Fuenzalida-Puelma, Hernan L.
author_sort Somanathan, Aparnaa
title Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
title_short Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
title_full Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
title_fullStr Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
title_full_unstemmed Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options
title_sort moving toward universal coverage of social health insurance in vietnam : assessment and options
publisher Washington, DC: World Bank
publishDate 2014
url http://documents.worldbank.org/curated/en/2014/06/19776955/moving-toward-universal-coverage-social-health-insurance-vietnam-assessment-options
http://hdl.handle.net/10986/18885
_version_ 1764443360013058048
spelling okr-10986-188852021-04-23T14:03:51Z Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options Somanathan, Aparnaa Tandon, Ajay Dao, Huong Lan Hurt, Kari L. Fuenzalida-Puelma, Hernan L. ABILITY TO PAY ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ADMINISTRATIVE COSTS ADMINISTRATIVE EFFICIENCY ADVERSE SELECTION AGED AGING AUDITORS BUDGETARY IMPACT BUDGETARY RESOURCES CAPITATION CAPITATION PAYMENTS CASE MANAGEMENT CATASTROPHIC HEALTH SPENDING CHILD HEALTH CITIES CLINICAL PRACTICE COMPETENCIES CONSULTATION PROCESS CONSUMERS CONTRIBUTION RATE CONTRIBUTORY INSURANCE COST EFFECTIVENESS COUNSELING DELIVERY SYSTEM DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DIAGNOSIS DIAGNOSTIC ASSESSMENT DRUGS EMPLOYMENT ENROLLEES ENTITLEMENT EPIDEMIOLOGICAL TRANSITION EXPANSION OF COVERAGE EXPENDITURES FAMILIES FEE SCHEDULES FEE-FOR-SERVICE FINANCIAL BARRIERS FINANCIAL CATASTROPHE FINANCIAL INCENTIVES FINANCIAL PROTECTION FINANCIAL RISK FLAT RATE GYNECOLOGY HARD TO REACH GROUPS HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDER HEALTH CARE USE HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROJECT HEALTH PURCHASERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SHARE HEALTH SPENDING HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM FINANCING HEALTH SYSTEM GOALS HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH WORKERS HEALTHCARE HEALTHCARE SERVICES HOSPITAL BEDS HOSPITAL REVENUES HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT ILLNESS IMMUNODEFICIENCY INCENTIVES FACING PROVIDERS INCOME INCOME COUNTRIES INCOME ELASTICITY INCOME GROUPS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEMS INPATIENT ADMISSION INSURANCE LAW INSURANCE POLICIES INSURANCE PREMIUM INSURANCE PREMIUMS LAWS LIBERALIZATION LIVING STANDARDS LOW-INCOME COUNTRIES MEDICAL BENEFIT MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL TRAINING MEDICINES MIGRANTS MIGRATION NATIONAL HEALTH NATIONAL HEALTH INSURANCE NEEDS ASSESSMENT NURSES NUTRITION PATIENTS PHARMACEUTICAL COSTS PHARMACEUTICAL SECTOR PHARMACEUTICAL SPENDING PHARMACISTS PHYSICIANS POCKET PAYMENTS POLICY DISCUSSIONS POLICY RESEARCH PRIMARY CARE PRIMARY HEALTH CARE PROBABILITY PROGRAMS PROVIDER PAYMENT PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITAL PUBLIC SPENDING QUALITY OF CARE REIMBURSEMENT RATES RISK GROUPS SAVINGS SCREENING SOCIAL ASSISTANCE SOCIAL HEALTH INSURANCE SOCIAL MOBILIZATION SOCIAL SECURITY SOCIAL WORKERS SUSTAINABILITY TUBERCULOSIS VACCINATION WORKERS To address the growth in resultant out-of-pocket (OOP) payments and associated problems of financial barriers to access, the government issued several policies aimed at expanding coverage throughout the 1990s and 2000s, particularly for the poor and other vulnerable groups. Universal coverage (UC) can be an elusive concept and is about three objectives: (a) equity (linking care to need, and not to ability to pay); (b) financial protection (ensuring that health care use does not lead to impoverishment); (c) effective access to a comprehensive set of quality services (ensuring that providers make the right diagnosis and prescribe a treatment that is appropriate and affordable; and (d) to ensure that the financing needed to achieve UC is mobilized in a fiscally sustainable manner, and is used efficiently and equitably. The objective of this report is to assess the implementation of Vietnam social health insurance (SHI) and provide options for moving toward UC, with a view to contributing to the law revision process. It analyzes progress to date on the two major goals of the master plan. The report assesses Vietnam's readiness to meet these goals, the challenges it will face in achieving UC, and key reforms needed to overcome those challenges. It does so through a health financing lens, focusing on how resources are mobilized, pooled, and allocated, and how services are purchased. The report also examines the stewardship of financing that is, the organization, management, and governance of SHI as it has direct implications for achieving UC. The report ends by pulling together the recommendations in the form of an implementation road map. 2014-07-14T16:30:53Z 2014-07-14T16:30:53Z 2014-06-26 http://documents.worldbank.org/curated/en/2014/06/19776955/moving-toward-universal-coverage-social-health-insurance-vietnam-assessment-options 978-1-4648-0261-4 10.1596/978-1-4648-0261-4 http://hdl.handle.net/10986/18885 English en_US Directions in Development--Human Development; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ Washington, DC: World Bank Publications & Research :: Publication East Asia and Pacific Vietnam