Kosovo : Health Financing Reform Study

The objective of this report is to present information on the different health financing reform options available to Kosovo, which can help the government to make informed policy decisions about financing reforms. The report focuses on the key insu...

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Bibliographic Details
Main Author:	World Bank
Format:	Other Health Study
Language:	English
Published:	Washington, DC 2012
Subjects:	HEALTH FINANCING KEY INSURANCE FUNCTIONS PURCHASING HEALTHCARE REFORM OPTIONS REVENUE COLLECTION REVENUE MANAGEMENT RISK POOLING SINGLE INSURER SOCIAL HEALTH INSURANCE
Online Access:	http://documents.worldbank.org/curated/en/2008/05/9543648/kosovo-health-financing-reform-study http://hdl.handle.net/10986/8121

id	okr-10986-8121
recordtype	oai_dc
spelling	okr-10986-81212021-04-23T14:02:36Z Kosovo : Health Financing Reform Study World Bank HEALTH FINANCING KEY INSURANCE FUNCTIONS PURCHASING HEALTHCARE REFORM OPTIONS REVENUE COLLECTION REVENUE MANAGEMENT RISK POOLING SINGLE INSURER SOCIAL HEALTH INSURANCE The objective of this report is to present information on the different health financing reform options available to Kosovo, which can help the government to make informed policy decisions about financing reforms. The report focuses on the key insurance functions of revenue collection and management, risk pooling, and purchasing of health care, as well as the supportive regulatory and governance framework for health financing. Kosovo aims to reform health financing by moving toward a health insurance system. To implement the proposed single insurer as described in the health law, a draft law for health insurance was discussed in Parliament in 2004. The draft law envisioned the revenue sources for the future health insurance as follows: (i) 60 percent of Health Insurance Fund (HIF) revenue will be paid by the general budget; (ii) 13.5 percent will come from payroll contributions; (iii) 21 percent will come from direct payments by patients in the form of user fees; and (iv) 6.5 percent will come from patients' co-payments. Three years later, in April 2007, the Kosovo Parliament approved a health insurance law to introduce social health insurance (SHI) financed predominantly through payroll taxes, though it did not specify contribution levels. The revenue potential of such payroll funded insurance was estimated to be modest considering Kosovo's relatively small formal sector and employment rate. The Kosovo health system is predominantly tax funded. Government health spending is about 3 percent of gross domestic product (GDP) and 10 percent of general government expenditures. The ministry of economics and finance (MEF) transfer's health funds from the central budget to hospitals (51 percent), to municipalities in the form of an earmarked health grant for the provision of primary health care (PHC) services (26 percent), and to the ministry of health (MOH) for other services (22 percent) (MEF 2007). 2012-06-14T21:52:43Z 2012-06-14T21:52:43Z 2008-05 http://documents.worldbank.org/curated/en/2008/05/9543648/kosovo-health-financing-reform-study http://hdl.handle.net/10986/8121 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Europe and Central Asia Kosovo
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	HEALTH FINANCING KEY INSURANCE FUNCTIONS PURCHASING HEALTHCARE REFORM OPTIONS REVENUE COLLECTION REVENUE MANAGEMENT RISK POOLING SINGLE INSURER SOCIAL HEALTH INSURANCE
spellingShingle	HEALTH FINANCING KEY INSURANCE FUNCTIONS PURCHASING HEALTHCARE REFORM OPTIONS REVENUE COLLECTION REVENUE MANAGEMENT RISK POOLING SINGLE INSURER SOCIAL HEALTH INSURANCE World Bank Kosovo : Health Financing Reform Study
geographic_facet	Europe and Central Asia Kosovo
description	The objective of this report is to present information on the different health financing reform options available to Kosovo, which can help the government to make informed policy decisions about financing reforms. The report focuses on the key insurance functions of revenue collection and management, risk pooling, and purchasing of health care, as well as the supportive regulatory and governance framework for health financing. Kosovo aims to reform health financing by moving toward a health insurance system. To implement the proposed single insurer as described in the health law, a draft law for health insurance was discussed in Parliament in 2004. The draft law envisioned the revenue sources for the future health insurance as follows: (i) 60 percent of Health Insurance Fund (HIF) revenue will be paid by the general budget; (ii) 13.5 percent will come from payroll contributions; (iii) 21 percent will come from direct payments by patients in the form of user fees; and (iv) 6.5 percent will come from patients' co-payments. Three years later, in April 2007, the Kosovo Parliament approved a health insurance law to introduce social health insurance (SHI) financed predominantly through payroll taxes, though it did not specify contribution levels. The revenue potential of such payroll funded insurance was estimated to be modest considering Kosovo's relatively small formal sector and employment rate. The Kosovo health system is predominantly tax funded. Government health spending is about 3 percent of gross domestic product (GDP) and 10 percent of general government expenditures. The ministry of economics and finance (MEF) transfer's health funds from the central budget to hospitals (51 percent), to municipalities in the form of an earmarked health grant for the provision of primary health care (PHC) services (26 percent), and to the ministry of health (MOH) for other services (22 percent) (MEF 2007).
format	Economic & Sector Work :: Other Health Study
author	World Bank
author_facet	World Bank
author_sort	World Bank
title	Kosovo : Health Financing Reform Study
title_short	Kosovo : Health Financing Reform Study
title_full	Kosovo : Health Financing Reform Study
title_fullStr	Kosovo : Health Financing Reform Study
title_full_unstemmed	Kosovo : Health Financing Reform Study
title_sort	kosovo : health financing reform study
publisher	Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2008/05/9543648/kosovo-health-financing-reform-study http://hdl.handle.net/10986/8121
_version_	1764403358340218880

Kosovo : Health Financing Reform Study

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