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.
These are summaries of sections 1, 2, and 5 of the book Performance-Based Contracting for Health Services in a Developing Country.
It defines the definition and basic aspects of "performance-based contracting" and some points to determine whether it should be used.
Hospital funding mechanisms are a key part of the process of reform in many health care systems. Many countries with publicly funded systems have introduced, or modified, systems of global budgets. Global budgets can be used to deliver changes to service delivery patterns.
Author/s: John C. Langenbrunner, Cheryl Cashin, Sheila O'Dougherty
The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.
Author/s: Rena Eichler, Ruth Levine, Performance-Based Incentives Working Group
This book documents a host of experiences with incentives for maternal and child health care, tuberculosis, child nutrition, HIV/AIDS, chronic conditions and more.
This guide aims at providing policymakers and donors with the tools needed to determine the appropriateness of competitive vouchers, as well as information on the design, execution, and monitoring of projects under this type of scheme.
A key element of the Norwegian Health Results-based Financing (HRBF) Grant is that each of the 8 pilot countries will incorporate a rigorous and well designed impact evaluation into the program design and implementation.
