Author/s: Paulo Borem, Estevão Alves Valle, Monica Silva Monteiro De Castro, Ronaldo Kenzou Fujii, Ana Luiza de Oliveira Farias, Fabio Leite Gastal, and Catherine Connor
This case study presents the initial results of the pay-for-performance (P4P) experience of UNIMED-Belo Horizonte (UBH), a private, nonprofit organization in Brazil. UBH is both a health insurance company and a medical cooperative operating in a highly competitive market. UBH is implementing two P4P programs: paying contracted hospitals to pursue and eventually achieve accreditation, and paying physicians to follow disease management protocols for selected conditions such as diabetes, cardiovascular disease, and childhood asthma. This case study provides an example of private sector P4P to improve service quality and efficiency.
Author/s: Hamid Bashir, Sarfaraz Kazmi, Rena Eichler, Alix Beith, and Ellie Brown
Pay for performance (P4P) in Pakistan consists of supply-side payments to providers and demand-side vouchers that subsidize the costs of a package of reproductive health care services and transportation for poor women. The aim is to reduce maternal and infant mortality by increasing utilization of antenatal care, skilled delivery, and postnatal care, as well as family planning services. P4P is being implemented within the framework of a social franchise network, Greenstar Social Marketing.
Author/s: Louis Rusa, Miriam Schneidman, Gyorgy Fritsche, Laurent Musango
Rwanda is one of the pioneers of performance-based financing. Building on lessons from three donor-financed pilots, the government has assumed leadership for this approach and is scaling up a standardized model nationwide.
