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Document Type: Knowledge Notes × Item Type: Publication × Topic: Health, Nutrition and Population × Country: Costa Rica ×

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    Introducing Strategic Purchasing in Costa Rica
    (Washington, DC: World Bank, 2024-07-25) Di Giorgio, Laura; Rosado Valenzuela, Ana Lucia; Sheffel, Ashley; Mussini, Micaela
    The Costa Rican Social Security Fund (CCSS) has taken its first steps towards the introduction of strategic purchasing of healthcare services with a pilot that was introduced for the first time as part of the institution’s 2024 budget, which is currently being implemented. With this highly relevant reform, the CCSS begins its transition from a resource allocation model based solely on the historical budget to (i) a capitation model at the first level of care and (ii) the introduction of prospective elements at the hospital level. The purpose of the review in the resource allocation methodology is to align resources with the health needs of the population and the supply of services, while encouraging the achievement of specific strategic objectives, such as increasing productivity, accessibility, and quality of services.