Publication:
Assessment of Systems for Paying Health Care Providers in Mongolia: Implications for Equity, Efficiency and Universal Health Coverage

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dc.contributor.authorJoint Learning Network
dc.contributor.authorMongolia Ministry of Health
dc.contributor.authorWorld Bank
dc.contributor.authorWorld Health Organization
dc.date.accessioned2015-11-03T16:26:09Z
dc.date.available2015-11-03T16:26:09Z
dc.date.issued2015
dc.description.abstractAchieving access to basic health services for the entire population without risk of financial hardship or impoverishment from out-of-pocket expenditures (‘universal health coverage’ or UHC) is a challenge that continues to confront most low- and middle-income countries. As coverage expands in these countries, issues of financial sustainability, efficiency, and quality of care quickly rise to the surface. Strategic health purchasing is an important lever to efficiently manage funds for UHC through the definition of what is purchased (which services and benefits the covered population is entitled to receive), from whom services are purchase (which providers are contracted to deliver the covered services), and how and how much the providers are paid. The assessment was conducted to help inform the design and implementation of Mongolia’s provider payment systems going forward. Health care provider payment systems, the way providers are paid to deliver the covered package of services, are an important part of strategic purchasing to balance system revenues and costs in a way that creates incentives for providers to improve quality and deliver services more efficiently. This ultimately makes it possible to expand coverage within limited funds (Langenbrunner, Cashin and ODougherty 2009). In practice, however, provider payment systems are often under-utilized as an effective tool to achieve UHC goals. After providing a brief overview of Mongolia’s health financing and service delivery system, this report describes the provider payment assessment and summarizes the main findings. It discusses the positive aspects and shortcomings of the current mix of payment systems and compares the design and implementation with international good practices. The chapter concludes by providing a roadmap for refining and realigning Mongolia’s provider payment system going forward.en
dc.identifierhttp://documents.worldbank.org/curated/en/2015/08/24932894/assessment-systems-paying-health-care-providers-mongolia-implications-equity-efficiency-universal-health-coverage
dc.identifier.doi10.1596/22812
dc.identifier.urihttps://hdl.handle.net/10986/22812
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectHEALTH CARE PROVIDERS
dc.subjectCHILD HEALTH
dc.subjectCLINICAL GUIDELINES
dc.subjectDEFICIT
dc.subjectRISKS
dc.subjectINSUFFICIENT FUNDING
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectCHRONIC DISEASES
dc.subjectVILLAGES
dc.subjectPHYSICIAN
dc.subjectRECEIVABLES
dc.subjectFINANCING
dc.subjectFINANCIAL MANAGEMENT
dc.subjectVILLAGE
dc.subjectDEATHS
dc.subjectINCOME
dc.subjectFEE FOR SERVICE
dc.subjectPREVENTION
dc.subjectDOCTORS
dc.subjectSALARY
dc.subjectMORBIDITY
dc.subjectPAYMENT SYSTEM
dc.subjectBASIC HEALTH SERVICES
dc.subjectPRIMARY CARE
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH CARE
dc.subjectREVENUES
dc.subjectINCENTIVES
dc.subjectHEALTH
dc.subjectSALARIES
dc.subjectHEALTH PROFESSIONALS
dc.subjectRECORD KEEPING
dc.subjectFEE
dc.subjectDIRECT PAYMENTS
dc.subjectPARAMEDICS
dc.subjectPOOL OF FUNDS
dc.subjectOWNERSHIP
dc.subjectPAYMENTS
dc.subjectHEALTH FACILITIES
dc.subjectPUBLIC HEALTH
dc.subjectFINANCIAL AUTONOMY
dc.subjectBUDGET
dc.subjectHOSPITALIZATION
dc.subjectHEALTH SECTOR
dc.subjectCAPITATION
dc.subjectPHARMACIES
dc.subjectCHOICE
dc.subjectFINANCIAL SUSTAINABILITY
dc.subjectCOSTS
dc.subjectPATIENTS
dc.subjectPATIENT
dc.subjectHARD BUDGET
dc.subjectINTERVENTION
dc.subjectPUBLIC FUNDS
dc.subjectDEBTS
dc.subjectHEALTH SYSTEMS
dc.subjectPUBLIC HOSPITALS
dc.subjectHEALTH CENTERS
dc.subjectCASH PAYMENT
dc.subjectLEVEL OF PAYMENT
dc.subjectNURSES
dc.subjectHEALTH MANAGEMENT
dc.subjectHOSPITAL ADMISSIONS
dc.subjectPAYMENT
dc.subjectDEBT
dc.subjectDEFICITS
dc.subjectHEALTH ORGANIZATION
dc.subjectHOSPITAL SERVICES
dc.subjectMIGRANTS
dc.subjectMORTALITY
dc.subjectLEGAL FRAMEWORK
dc.subjectFINANCE
dc.subjectHEALTH PROMOTION
dc.subjectEXPENDITURE
dc.subjectMARKET ECONOMY
dc.subjectFREE CHOICE
dc.subjectGRANT
dc.subjectEQUITY
dc.subjectBUDGET CONSTRAINT
dc.subjectCOTS
dc.subjectWORKERS
dc.subjectCAPITAL
dc.subjectSURGERY
dc.subjectINCENTIVE SCHEMES
dc.subjectCHRONIC DISEASE
dc.subjectHEALTH DELIVERY
dc.subjectUSER FEES
dc.subjectFAMILY
dc.subjectCARE
dc.subjectBANK
dc.subjectFINANCIAL HARDSHIP
dc.subjectBUDGETS
dc.subjectDEMAND
dc.subjectCLAIMS
dc.subjectFINANCIAL DISCIPLINE
dc.subjectEXPENDITURES
dc.subjectINSURANCE AGENCY
dc.subjectMANDATES
dc.subjectTEACHING HOSPITALS
dc.subjectASSETS
dc.subjectPAYMENT ARRANGEMENT
dc.subjectCOST PER CASE
dc.subjectHEALTH CARE PROVIDER
dc.subjectPRIMARY HEALTH CARE
dc.subjectHEALTH SYSTEM
dc.subjectINSURANCE
dc.subjectWEIGHT
dc.subjectPREGNANT WOMEN
dc.subjectHEALTH CARE DELIVERY
dc.subjectBUDGET  DEFICITS
dc.subjectHOSPITAL “DISTRICTS
dc.subjectHUMAN RESOURCES
dc.subjectPUBLIC FACILITIES
dc.subjectHEALTH PROVIDERS
dc.subjectPOVERTY
dc.subjectHEALTH EXPENDITURE
dc.subjectILLNESS
dc.subjectPRIVATE PHARMACIES
dc.subjectCOOPERATION
dc.subjectREHABILITATION
dc.subjectPOPULATION
dc.subjectSTRATEGY
dc.subjectFEES
dc.subjectREGISTRATION
dc.subjectMEDICINES
dc.subjectHEALTH FINANCING
dc.subjectHOSPITALS
dc.subjectPAYMENT SYSTEMS
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH SERVICE
dc.subjectRECURRENT COSTS
dc.subjectHEALTH SERVICES
dc.subjectIMPLEMENTATION
dc.subjectEQUITABLE DISTRIBUTION
dc.subjectPROVIDER PAYMENT
dc.titleAssessment of Systems for Paying Health Care Providers in Mongoliaen
dc.title.subtitleImplications for Equity, Efficiency and Universal Health Coverageen
dc.typeReporten
dc.typeRapportfr
dc.typeInformees
dspace.entity.typePublication
okr.date.disclosure2015-08-20
okr.date.doiregistration2025-05-07T09:56:53.974002Z
okr.doctypeEconomic & Sector Work::Policy Note
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2015/08/24932894/assessment-systems-paying-health-care-providers-mongolia-implications-equity-efficiency-universal-health-coverage
okr.guid931011468001483284
okr.guid711891467991004186
okr.identifier.externaldocumentum090224b083087ded_1_0
okr.identifier.internaldocumentum24932894
okr.identifier.report98790
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/08/20/090224b083087ded/1_0/Rendered/PDF/Assessment0of00rsal0health0coverage.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryMongolia
okr.sectorHealth and other social services
okr.sectorPublic Administration, Law, and Justice
okr.themePublic sector governance :: Other accountability/anti-corruption
okr.topicBankruptcy and Resolution of Financial Distress
okr.topicAccess to Finance
okr.topicDebt Markets
okr.topicFinance and Financial Sector Development
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.unitSocial Protect Labor - GP (GSPDR)
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