Social Health Insurance
C. Normand A. Weber
| Price: $ 12.6
A step-by-step guide to the planning, design, implementation, and evaluation of schemes that use social health insurance to finance health care, whether for entire populations or selected subgroups. Addressed to decision-makers and planners, the book aims to help its readers decide whether social health insurance can contribute to a country's health goals, and then plan the most appropriate scheme in line with existing political, sociocultural, and economic conditions. Experiences from a wide range of countries are used to illustrate both the advantages and disadvantages of social health insurance in different settings.
Chapters in part one, which covers the decision phase of planning, explain how to analyse a country's economic and policy environment in order to determine whether social health insurance is desirable and feasible.
Part two introduces several important questions that should be considered during the preliminary design of a social health insurance scheme. Against this background, the third and most extensive part explains how to develop detailed system components and mechanisms. Chapters cover the selection of the population to be covered, the planning of benefit packages, the development of an organizational and administrative structure, and the selection of an appropriate mechanism for provider payment.
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