Ebook445 pages8 hours
Government-Sponsored Health Insurance in India
By Gerard La Forgia and Somil Nagpal
Rating: 0 out of 5 stars
()
About this ebook
This book presents research findings on India’s major central and state government-sponsored health insurance schemes (GSHISs). The analysis centers on the GSHISs launched since 2007. These schemes targeted poor populations, aiming to provide financial protection against catastrophic health shocks, defined in terms of inpatient care.
Focus is on two lines of inquiry. The first involves institutional and “operational” opportunities and challenges regarding schemes’ design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, information asymmetries, and potential for impact on financial protection and on access to care and use by targeted beneficiaries. The second entails “big picture” questions on the future configuration of India’s health financing and delivery systems that have surfaced, due in part to the appearance of a new wave of GSHISs.
In addition to gains in population coverage, reaching about 185 million low-income beneficiaries by 2010, the new crop of schemes introduced a demand-side approach to public financing while embracing several innovation features, at least for the Indian context. These include: defined entitlements, separation of purchasing from financing, patient choice of providers, impressive use of information and communication technology and engagement with the private sector in the areas of insurance, administration and provision. Strong political interest in the schemes is also evident, especially at the state level and is a driver of increased public expenditures for health.
The schemes face a number of operational challenges that have emerged during implementation and are examined in the book. They will need to strengthen institutional and governance arrangements, purchasing and contracting capacities, monitoring systems, and cost containment mechanisms. They need to use their financial leverage to improve the quality of network providers. Beneficiaries also appear to have insufficient information on enrolment, benefits and providers. The book recommends a series of corrective measures to address these shortcomings.
The book outlines a “pragmatic pathway” toward achieving universal coverage that takes as a starting point the current configuration of health financing and delivery arrangements in India, recent trends in government health financing as well as innovations and lessons from the recent GSHISs analyzed in this book. The book concludes with a review of issues for further research.
Focus is on two lines of inquiry. The first involves institutional and “operational” opportunities and challenges regarding schemes’ design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, information asymmetries, and potential for impact on financial protection and on access to care and use by targeted beneficiaries. The second entails “big picture” questions on the future configuration of India’s health financing and delivery systems that have surfaced, due in part to the appearance of a new wave of GSHISs.
In addition to gains in population coverage, reaching about 185 million low-income beneficiaries by 2010, the new crop of schemes introduced a demand-side approach to public financing while embracing several innovation features, at least for the Indian context. These include: defined entitlements, separation of purchasing from financing, patient choice of providers, impressive use of information and communication technology and engagement with the private sector in the areas of insurance, administration and provision. Strong political interest in the schemes is also evident, especially at the state level and is a driver of increased public expenditures for health.
The schemes face a number of operational challenges that have emerged during implementation and are examined in the book. They will need to strengthen institutional and governance arrangements, purchasing and contracting capacities, monitoring systems, and cost containment mechanisms. They need to use their financial leverage to improve the quality of network providers. Beneficiaries also appear to have insufficient information on enrolment, benefits and providers. The book recommends a series of corrective measures to address these shortcomings.
The book outlines a “pragmatic pathway” toward achieving universal coverage that takes as a starting point the current configuration of health financing and delivery arrangements in India, recent trends in government health financing as well as innovations and lessons from the recent GSHISs analyzed in this book. The book concludes with a review of issues for further research.
Related to Government-Sponsored Health Insurance in India
Related ebooks
The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health Rating: 0 out of 5 stars0 ratingsMoving toward Universal Coverage of Social Health Insurance in Vietnam: Assessment and Options Rating: 0 out of 5 stars0 ratingsPartnering for COVID-19 Response and Recovery: The Asian Development Bank’s Support to India Rating: 0 out of 5 stars0 ratingsTool Kit for Public–Private Partnerships in Urban Primary Health Centers in India Rating: 0 out of 5 stars0 ratingsUnique Health Identifier Assessment Tool Kit Rating: 0 out of 5 stars0 ratingsHealth Financing Reform in Ukraine: Progress and Future Directions Rating: 0 out of 5 stars0 ratingsSilver Opportunity: Building Integrated Services for Older Adults around Primary Health Care Rating: 0 out of 5 stars0 ratingsDigital Technologies for Government-Supported Health Insurance Systems in Asia and the Pacific Rating: 0 out of 5 stars0 ratingsIntegrity Risks and Red Flags in Health Projects Rating: 0 out of 5 stars0 ratingsHealth Financing Policy: The Macroeconomic, Fiscal, and Public Finance Context Rating: 5 out of 5 stars5/5Bangladesh National Nutrition Services: Assessment of Implementation Status Rating: 0 out of 5 stars0 ratingsThe Social Protection Indicator: Assessing Results for Asia Rating: 0 out of 5 stars0 ratingsPlanning National Telemedicine and Health Hotline Services: A Toolkit for Service Providers Working with Governments Rating: 0 out of 5 stars0 ratingsThe Economics of Health Professional Education and Careers: Insights from a Literature Review Rating: 0 out of 5 stars0 ratingsWorld Bank Group Support to Public-Private Partnerships: Lessons from Experience in Client Countries, FY02-12 Rating: 0 out of 5 stars0 ratingsIncubating Indonesia’s Young Entrepreneurs:: Recommendations for Improving Development Programs Rating: 0 out of 5 stars0 ratingsThe Enabling Environment for Disaster Risk Financing in Pakistan: Country Diagnostics Assessment Rating: 0 out of 5 stars0 ratingsThe Labor Market for Health Workers in Africa: A New Look at the Crisis Rating: 0 out of 5 stars0 ratings
Business For You
Emotional Intelligence: Exploring the Most Powerful Intelligence Ever Discovered Rating: 5 out of 5 stars5/5Becoming Bulletproof: Protect Yourself, Read People, Influence Situations, and Live Fearlessly Rating: 4 out of 5 stars4/5The Intelligent Investor, Rev. Ed: The Definitive Book on Value Investing Rating: 4 out of 5 stars4/5Your Next Five Moves: Master the Art of Business Strategy Rating: 5 out of 5 stars5/5Crucial Conversations: Tools for Talking When Stakes are High, Third Edition Rating: 4 out of 5 stars4/5The Everything Guide To Being A Paralegal: Winning Secrets to a Successful Career! Rating: 5 out of 5 stars5/5The Book of Beautiful Questions: The Powerful Questions That Will Help You Decide, Create, Connect, and Lead Rating: 4 out of 5 stars4/5Tools Of Titans: The Tactics, Routines, and Habits of Billionaires, Icons, and World-Class Performers Rating: 4 out of 5 stars4/5Crucial Conversations Tools for Talking When Stakes Are High, Second Edition Rating: 4 out of 5 stars4/5Ultralearning: Master Hard Skills, Outsmart the Competition, and Accelerate Your Career Rating: 4 out of 5 stars4/5Summary of J.L. Collins's The Simple Path to Wealth Rating: 5 out of 5 stars5/5Limited Liability Companies For Dummies Rating: 5 out of 5 stars5/5The Richest Man in Babylon: The most inspiring book on wealth ever written Rating: 5 out of 5 stars5/5Law of Connection: Lesson 10 from The 21 Irrefutable Laws of Leadership Rating: 4 out of 5 stars4/5Set for Life: An All-Out Approach to Early Financial Freedom Rating: 4 out of 5 stars4/5How to Write a Grant: Become a Grant Writing Unicorn Rating: 5 out of 5 stars5/5Suddenly Frugal: How to Live Happier and Healthier for Less Rating: 3 out of 5 stars3/5Collaborating with the Enemy: How to Work with People You Don’t Agree with or Like or Trust Rating: 4 out of 5 stars4/5Robert's Rules Of Order Rating: 5 out of 5 stars5/5Lying Rating: 4 out of 5 stars4/5The Catalyst: How to Change Anyone's Mind Rating: 4 out of 5 stars4/5Good to Great: Why Some Companies Make the Leap...And Others Don't Rating: 4 out of 5 stars4/5Capitalism and Freedom Rating: 4 out of 5 stars4/5The Five Dysfunctions of a Team: A Leadership Fable, 20th Anniversary Edition Rating: 4 out of 5 stars4/5How to Get Ideas Rating: 5 out of 5 stars5/5The Hard Thing About Hard Things: Building a Business When There Are No Easy Answers Rating: 4 out of 5 stars4/5Company Rules: Or Everything I Know About Business I Learned from the CIA Rating: 4 out of 5 stars4/5
Reviews for Government-Sponsored Health Insurance in India
Rating: 0 out of 5 stars
0 ratings
0 ratings0 reviews