Author/s: Petra Vergeer, Jean-Pierre Manshande, Tekabe Belay, Ahmad Shah Salehi
This schematic illustrates the way Afghanistan has been working with NGOs through performance-based partnership agreements (PPAs). When the new round of PPAs commenced in 2008, there was an opportunity to further adapt the performance-based payment system which had operated since 2003. In the new scheme, performance payments are also made available for the volume of services conditional on the quality of care (similar to the PBF scheme in Rwanda), and incentives trickle down from the implementing NGO to provincial health facilities to improve performance in service delivery quantity and quality.
Author/s: Petra Vergeer, Jean-Pierre Manshande, Uder Antoine, Bernateau Desmangles
As of March 2011, 27 NGOs and 16 public sites within six departmental directorates are supported under a performance-based approach. The schematic walks through the different steps taken in the Haiti PBC model in relation to contracting, verification and payment while highlighting the different actors involved in the process.
In the April 2011 issue of the Lancet, researchers publish findings of the effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance. The P4P scheme in Rwanda had the greatest effect on those services that had the highest payment rates and needed the least effort from the service provider. P4P financial performance incentives can improve both the use and quality of maternal and child health services, and could be a useful intervention to accelerate progress towards Millennium Development Goals for maternal and child health.
Author/s: Petra Vergeer, Piet Vroeg, Pierre Manshande, Michel Bossuyt, Juvenal Ndayishmiye
This schematic illustrates Performance-Based Financing (PBF) done through a private purchaser in Burundi. The PBF approach through a private purchaser is based on the separation of three functions: service provision, health system regulation and purchasing (which includes verification).
Author/s: Petra Vergeer, Jean-Pierre Manshande, Gyuri Fritsche
This diagram shows the steps in the Rwanda health center PBF model on verification, payment request submission, funds transfer and the results of counter-verification while highlighting the actors involved.
This summary document is based on a synthesis of international evidence and experience related to the design and implementation1 of per capita PHC payment systems. It summarizes lessons learned and consolidates specific technical recommendations about steps in the design and implementation of capitated payment systems. A brief case study is presented from the Karaganda region of Kazakhstan, where a PHC per capita payment system has driven profound changes in the relationships between the government/purchaser, providers and the population and set in motion a dynamic of change in the region’s health sector in spite of system barriers.
This is a summary of Chapter 5: Health Management Information Systems (HMIS): Linking Payers and Providers (a 2009 update) in the book - Designing and Implementing Health Care Provider Payment Systems: How-To Manuals.
This summary highlights the frequently changing area of health information systems and the components needed—information systems for providers, information systems for payers, and the electronic links between the two. Also highlighted are different functions of both payer and provider systems and appropriate ways to implement them.
Provider payment systems can be powerful tools to promote the development of health systems and
achieve health policy objectives. Because the hospital inpatient sector almost always consumes the
greatest share of health care resources, the way hospitals are paid can have a particularly strong
influence on the performance of the health care system as a whole. Countries throughout the world
are taking new approaches to paying hospitals in an effort to improve hospital performance and
meet broader health system objectives.
An overview of this 2009 book, describes provider payment methods and systems, powerful tools to promote health system development and achieve policy objectives. Describes the payment systems currently used for primary health care providers and hospitals, summarizing factors to be considered when choosing payment systems.