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The East Asia and Pacific region is characterized by wide
variations in sources of healthcare financing, pooling of funds,
purchasing of care services, and the extent to which these policy
instruments and programs provide social protection. Existing
healthcare financing systems in the region are under increasing
pressure from a continued prevalence of communicable diseases, an
emergence of non communicable diseases, and a rapidly aging
population. Large inequalities between the poor and the prosperous
in their access to healthcare financing mechanisms can be reformed
and strengthened to improve outcomes especially for the poor.
Financing Health Care in East Asia and the Pacific emphasizes the
need for high-quality, well-funded health systems that generate
sustainable financing to ensure optimal health outcomes and
guaranteed financial protection. Adequate funding, however, will
not be enough. Systems will need to manage and spend funds wisely.
It reviews best practices and remaining challenges related to every
function of health financing both within countries and across East
Asia and Pacific countries. The book will be of particular interest
to government leaders, policy makers, health economists, donors,
and health service researchers."
Strategic purchasing of health services involves a continuous
search for the best ways to maximize health system performance by
deciding which interventions should be purchased, from whom these
should be purchased, and how to pay for them. In such an
arrangement, the passive cashier is replaced by an intelligent
purchaser that can focus scarce resources on existing and emerging
priorities rather than continuing entrenched historical spending
patterns. Having experimented with different ways of paying
providers of health care services, countries increasingly want to
know not only what to do when paying providers, but also how to do
it, particularly how to design, manage, and implement the
transition from current to reformed systems. 'Designing and
Implementing Health Care Provider Payment Systems: How-To Manuals'
addresses this need. 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."
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