Health Insurance Handbook : How to Make It Work
Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve ac...
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| Language: | English |
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World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20120108233848 http://hdl.handle.net/10986/2227 http://hdl.handle.net/10986/5913 |
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okr-10986-5913 |
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oai_dc |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
| building |
World Bank Open Knowledge Repository |
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World Bank |
| language |
English |
| topic |
ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ACTUARIES ADMINISTRATIVE COSTS ADMINISTRATIVE EFFICIENCY ADVERSE SELECTION BASIC HEALTH SERVICES BURDEN OF DISEASE CAR ACCIDENT CHILD HEALTH CLINICS COMMUNITY HEALTH COMPREHENSIVE HEALTH INSURANCE CONDOMS CONSUMERS CONTRIBUTION RATE COST CONTROL COST OF SERVICES COST SHARING DECISION MAKING DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DEMAND FOR SERVICES DETERMINANTS OF HEALTH DIAGNOSIS DISADVANTAGED POPULATIONS DOCTORS DRUGS EMERGENCY CARE EPIDEMICS EXERCISES FAMILIES FAMILY INCOME FAMILY PLANNING FEE FOR SERVICE FINANCIAL BARRIERS FINANCIAL CATASTROPHE FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCING HEALTH CARE FRAUD FREE CARE GOVERNMENT POLICIES HEALTH CARE HEALTH CARE COVERAGE HEALTH CARE DELIVERY HEALTH CARE EXPENDITURE HEALTH CARE FACILITIES HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CONDITIONS HEALTH COSTS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INDUSTRY HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUND HEALTH INSURANCE PLAN HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POLICY OBJECTIVES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH · FUNDING HIGH FERTILITY HIV/AIDS HOSPITAL BEDS HOSPITAL CAPACITY HOSPITAL CARE HOSPITAL SECTOR HOSPITALIZATION HOSPITALS HOUSEHOLD INCOME HUMAN RESOURCES ILLNESS IMMUNIZATION IMPROVEMENTS IN HEALTH INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME GROUPS INCOME POPULATION INDEXES INEFFICIENT DELIVERY INFECTIOUS DISEASES INFLATION INFORMAL PAYMENTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEM INFORMATION SYSTEMS INPATIENT CARE INSURANCE AGENCIES INSURANCE CLAIMS INSURANCE COMPANIES INSURANCE FUNDS INSURANCE LAW INSURANCE PACKAGE INSURANCE PLAN INSURANCE PREMIUM INSURANCE SYSTEMS INSURERS LABOR MARKETS LEGAL FRAMEWORK LIFE INSURANCE LOW-INCOME COUNTRIES MARKETING MEDICAL BENEFITS MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MEDICINES MORAL HAZARD MORBIDITY MORTALITY MUTUAL AID NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NONGOVERNMENTAL ORGANIZATIONS NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PHARMACIES POCKET PAYMENTS PREGNANT WOMEN PREVENTIVE CARE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE CLINICS PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRAMS PROVIDER PAYMENT PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH REIMBURSEMENT RATES REINSURANCE RISK SHARING SCHOOL HEALTH SCREENING SICKNESS FUNDS SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SECURITY SUPPLY OF HEALTH PROVIDERS SUSTAINABILITY UNEMPLOYMENT VACCINATIONS WORKERS |
| spellingShingle |
ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ACTUARIES ADMINISTRATIVE COSTS ADMINISTRATIVE EFFICIENCY ADVERSE SELECTION BASIC HEALTH SERVICES BURDEN OF DISEASE CAR ACCIDENT CHILD HEALTH CLINICS COMMUNITY HEALTH COMPREHENSIVE HEALTH INSURANCE CONDOMS CONSUMERS CONTRIBUTION RATE COST CONTROL COST OF SERVICES COST SHARING DECISION MAKING DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DEMAND FOR SERVICES DETERMINANTS OF HEALTH DIAGNOSIS DISADVANTAGED POPULATIONS DOCTORS DRUGS EMERGENCY CARE EPIDEMICS EXERCISES FAMILIES FAMILY INCOME FAMILY PLANNING FEE FOR SERVICE FINANCIAL BARRIERS FINANCIAL CATASTROPHE FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCING HEALTH CARE FRAUD FREE CARE GOVERNMENT POLICIES HEALTH CARE HEALTH CARE COVERAGE HEALTH CARE DELIVERY HEALTH CARE EXPENDITURE HEALTH CARE FACILITIES HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CONDITIONS HEALTH COSTS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INDUSTRY HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUND HEALTH INSURANCE PLAN HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POLICY OBJECTIVES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH · FUNDING HIGH FERTILITY HIV/AIDS HOSPITAL BEDS HOSPITAL CAPACITY HOSPITAL CARE HOSPITAL SECTOR HOSPITALIZATION HOSPITALS HOUSEHOLD INCOME HUMAN RESOURCES ILLNESS IMMUNIZATION IMPROVEMENTS IN HEALTH INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME GROUPS INCOME POPULATION INDEXES INEFFICIENT DELIVERY INFECTIOUS DISEASES INFLATION INFORMAL PAYMENTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEM INFORMATION SYSTEMS INPATIENT CARE INSURANCE AGENCIES INSURANCE CLAIMS INSURANCE COMPANIES INSURANCE FUNDS INSURANCE LAW INSURANCE PACKAGE INSURANCE PLAN INSURANCE PREMIUM INSURANCE SYSTEMS INSURERS LABOR MARKETS LEGAL FRAMEWORK LIFE INSURANCE LOW-INCOME COUNTRIES MARKETING MEDICAL BENEFITS MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MEDICINES MORAL HAZARD MORBIDITY MORTALITY MUTUAL AID NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NONGOVERNMENTAL ORGANIZATIONS NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PHARMACIES POCKET PAYMENTS PREGNANT WOMEN PREVENTIVE CARE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE CLINICS PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRAMS PROVIDER PAYMENT PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH REIMBURSEMENT RATES REINSURANCE RISK SHARING SCHOOL HEALTH SCREENING SICKNESS FUNDS SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SECURITY SUPPLY OF HEALTH PROVIDERS SUSTAINABILITY UNEMPLOYMENT VACCINATIONS WORKERS Wang, Hong Switlick, Kimberly Ortiz, Christine Zurita, Beatriz Connor, Catherine Health Insurance Handbook : How to Make It Work |
| relation |
World Bank Working Paper ; No. 219 |
| description |
Many countries that subscribe to the
Millennium Development Goals (MDGs) have committed to
ensuring access to basic health services for their citizens.
Health insurance has been considered and promoted as the
major financing mechanism to improve access to health
services, as well as to provide financial risk protection.
In Africa, several countries have already spent scarce time,
money, and effort on health insurance initiatives. Ethiopia,
Ghana, Kenya, Nigeria, Rwanda, and Tanzania are just a few
of them. However, many of these schemes, both public and
private, cover only a small proportion of the population,
with the poor less likely to be covered. In fact, unless
carefully designed to be pro-poor, health insurance can
widen inequity as higher income groups are more likely to be
insured and use health care services, taking advantage of
their insurance coverage. The purpose of this handbook is to
provide policy makers and health insurance designers with
practical, action-oriented support that will deepen their
understanding of health insurance concepts, help them
identify design and implementation challenges, and define
realistic steps for the development and scaling up of
equitable, efficient, and sustainable health insurance
schemes. The handbook takes policy makers and health
insurance designers through a step-by-step series of
considerations and tasks that need to be achieved. The
handbook's philosophy is to not be dogmatic,
ideological, or prescriptive. This handbook was prepared to
be used in a six-day regional workshop. Clearly, health
insurance design is an intensive political and technical
process that takes much longer than six days. The
expectation for the workshop is that by the end of the week,
each team has a clear idea of next steps that they could
take back home to engage other stakeholders and move toward
scaling up and improving the performance of health insurance
in their country. |
| format |
Publications & Research :: Publication |
| author |
Wang, Hong Switlick, Kimberly Ortiz, Christine Zurita, Beatriz Connor, Catherine |
| author_facet |
Wang, Hong Switlick, Kimberly Ortiz, Christine Zurita, Beatriz Connor, Catherine |
| author_sort |
Wang, Hong |
| title |
Health Insurance Handbook : How to
Make It Work |
| title_short |
Health Insurance Handbook : How to
Make It Work |
| title_full |
Health Insurance Handbook : How to
Make It Work |
| title_fullStr |
Health Insurance Handbook : How to
Make It Work |
| title_full_unstemmed |
Health Insurance Handbook : How to
Make It Work |
| title_sort |
health insurance handbook : how to
make it work |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20120108233848 http://hdl.handle.net/10986/2227 http://hdl.handle.net/10986/5913 |
| _version_ |
1764396745778790400 |
| spelling |
okr-10986-59132021-04-23T14:02:23Z Health Insurance Handbook : How to Make It Work Wang, Hong Switlick, Kimberly Ortiz, Christine Zurita, Beatriz Connor, Catherine ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ACTUARIES ADMINISTRATIVE COSTS ADMINISTRATIVE EFFICIENCY ADVERSE SELECTION BASIC HEALTH SERVICES BURDEN OF DISEASE CAR ACCIDENT CHILD HEALTH CLINICS COMMUNITY HEALTH COMPREHENSIVE HEALTH INSURANCE CONDOMS CONSUMERS CONTRIBUTION RATE COST CONTROL COST OF SERVICES COST SHARING DECISION MAKING DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DEMAND FOR SERVICES DETERMINANTS OF HEALTH DIAGNOSIS DISADVANTAGED POPULATIONS DOCTORS DRUGS EMERGENCY CARE EPIDEMICS EXERCISES FAMILIES FAMILY INCOME FAMILY PLANNING FEE FOR SERVICE FINANCIAL BARRIERS FINANCIAL CATASTROPHE FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCING HEALTH CARE FRAUD FREE CARE GOVERNMENT POLICIES HEALTH CARE HEALTH CARE COVERAGE HEALTH CARE DELIVERY HEALTH CARE EXPENDITURE HEALTH CARE FACILITIES HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CONDITIONS HEALTH COSTS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INDUSTRY HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUND HEALTH INSURANCE PLAN HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH INSURANCE SYSTEM HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POLICY OBJECTIVES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH · FUNDING HIGH FERTILITY HIV/AIDS HOSPITAL BEDS HOSPITAL CAPACITY HOSPITAL CARE HOSPITAL SECTOR HOSPITALIZATION HOSPITALS HOUSEHOLD INCOME HUMAN RESOURCES ILLNESS IMMUNIZATION IMPROVEMENTS IN HEALTH INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME GROUPS INCOME POPULATION INDEXES INEFFICIENT DELIVERY INFECTIOUS DISEASES INFLATION INFORMAL PAYMENTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEM INFORMATION SYSTEMS INPATIENT CARE INSURANCE AGENCIES INSURANCE CLAIMS INSURANCE COMPANIES INSURANCE FUNDS INSURANCE LAW INSURANCE PACKAGE INSURANCE PLAN INSURANCE PREMIUM INSURANCE SYSTEMS INSURERS LABOR MARKETS LEGAL FRAMEWORK LIFE INSURANCE LOW-INCOME COUNTRIES MARKETING MEDICAL BENEFITS MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL SERVICES MEDICARE MEDICINES MORAL HAZARD MORBIDITY MORTALITY MUTUAL AID NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NONGOVERNMENTAL ORGANIZATIONS NURSES OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PHARMACIES POCKET PAYMENTS PREGNANT WOMEN PREVENTIVE CARE PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE CLINICS PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROGRAMS PROVIDER PAYMENT PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH INSURANCE PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH REIMBURSEMENT RATES REINSURANCE RISK SHARING SCHOOL HEALTH SCREENING SICKNESS FUNDS SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SECURITY SUPPLY OF HEALTH PROVIDERS SUSTAINABILITY UNEMPLOYMENT VACCINATIONS WORKERS Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well as to provide financial risk protection. In Africa, several countries have already spent scarce time, money, and effort on health insurance initiatives. Ethiopia, Ghana, Kenya, Nigeria, Rwanda, and Tanzania are just a few of them. However, many of these schemes, both public and private, cover only a small proportion of the population, with the poor less likely to be covered. In fact, unless carefully designed to be pro-poor, health insurance can widen inequity as higher income groups are more likely to be insured and use health care services, taking advantage of their insurance coverage. The purpose of this handbook is to provide policy makers and health insurance designers with practical, action-oriented support that will deepen their understanding of health insurance concepts, help them identify design and implementation challenges, and define realistic steps for the development and scaling up of equitable, efficient, and sustainable health insurance schemes. The handbook takes policy makers and health insurance designers through a step-by-step series of considerations and tasks that need to be achieved. The handbook's philosophy is to not be dogmatic, ideological, or prescriptive. This handbook was prepared to be used in a six-day regional workshop. Clearly, health insurance design is an intensive political and technical process that takes much longer than six days. The expectation for the workshop is that by the end of the week, each team has a clear idea of next steps that they could take back home to engage other stakeholders and move toward scaling up and improving the performance of health insurance in their country. 2012-03-19T08:44:00Z 2012-04-04T07:43:49Z 2012-03-19T08:44:00Z 2012-04-04T07:43:49Z 2012-01-18 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20120108233848 978-0-8213-8982-9 10.1596 / 978-0-8213-8952-9 http://hdl.handle.net/10986/2227 http://hdl.handle.net/10986/5913 English World Bank Working Paper ; No. 219 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank Publications & Research :: Publication Publications & Research :: Publication |