Publication: Assessment of Systems for Paying Health Care Providers in Mongolia: Implications for Equity, Efficiency and Universal Health Coverage
dc.contributor.author | Joint Learning Network | |
dc.contributor.author | Mongolia Ministry of Health | |
dc.contributor.author | World Bank | |
dc.contributor.author | World Health Organization | |
dc.date.accessioned | 2015-11-03T16:26:09Z | |
dc.date.available | 2015-11-03T16:26:09Z | |
dc.date.issued | 2015 | |
dc.description.abstract | Achieving 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.identifier | http://documents.worldbank.org/curated/en/2015/08/24932894/assessment-systems-paying-health-care-providers-mongolia-implications-equity-efficiency-universal-health-coverage | |
dc.identifier.doi | 10.1596/22812 | |
dc.identifier.uri | https://hdl.handle.net/10986/22812 | |
dc.language | English | |
dc.language.iso | en_US | |
dc.publisher | World Bank, Washington, DC | |
dc.rights | CC BY 3.0 IGO | |
dc.rights.holder | World Bank | |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/igo/ | |
dc.subject | HEALTH CARE PROVIDERS | |
dc.subject | CHILD HEALTH | |
dc.subject | CLINICAL GUIDELINES | |
dc.subject | DEFICIT | |
dc.subject | RISKS | |
dc.subject | INSUFFICIENT FUNDING | |
dc.subject | HEALTH SERVICE DELIVERY | |
dc.subject | CHRONIC DISEASES | |
dc.subject | VILLAGES | |
dc.subject | PHYSICIAN | |
dc.subject | RECEIVABLES | |
dc.subject | FINANCING | |
dc.subject | FINANCIAL MANAGEMENT | |
dc.subject | VILLAGE | |
dc.subject | DEATHS | |
dc.subject | INCOME | |
dc.subject | FEE FOR SERVICE | |
dc.subject | PREVENTION | |
dc.subject | DOCTORS | |
dc.subject | SALARY | |
dc.subject | MORBIDITY | |
dc.subject | PAYMENT SYSTEM | |
dc.subject | BASIC HEALTH SERVICES | |
dc.subject | PRIMARY CARE | |
dc.subject | HEALTH INSURANCE | |
dc.subject | HEALTH CARE | |
dc.subject | REVENUES | |
dc.subject | INCENTIVES | |
dc.subject | HEALTH | |
dc.subject | SALARIES | |
dc.subject | HEALTH PROFESSIONALS | |
dc.subject | RECORD KEEPING | |
dc.subject | FEE | |
dc.subject | DIRECT PAYMENTS | |
dc.subject | PARAMEDICS | |
dc.subject | POOL OF FUNDS | |
dc.subject | OWNERSHIP | |
dc.subject | PAYMENTS | |
dc.subject | HEALTH FACILITIES | |
dc.subject | PUBLIC HEALTH | |
dc.subject | FINANCIAL AUTONOMY | |
dc.subject | BUDGET | |
dc.subject | HOSPITALIZATION | |
dc.subject | HEALTH SECTOR | |
dc.subject | CAPITATION | |
dc.subject | PHARMACIES | |
dc.subject | CHOICE | |
dc.subject | FINANCIAL SUSTAINABILITY | |
dc.subject | COSTS | |
dc.subject | PATIENTS | |
dc.subject | PATIENT | |
dc.subject | HARD BUDGET | |
dc.subject | INTERVENTION | |
dc.subject | PUBLIC FUNDS | |
dc.subject | DEBTS | |
dc.subject | HEALTH SYSTEMS | |
dc.subject | PUBLIC HOSPITALS | |
dc.subject | HEALTH CENTERS | |
dc.subject | CASH PAYMENT | |
dc.subject | LEVEL OF PAYMENT | |
dc.subject | NURSES | |
dc.subject | HEALTH MANAGEMENT | |
dc.subject | HOSPITAL ADMISSIONS | |
dc.subject | PAYMENT | |
dc.subject | DEBT | |
dc.subject | DEFICITS | |
dc.subject | HEALTH ORGANIZATION | |
dc.subject | HOSPITAL SERVICES | |
dc.subject | MIGRANTS | |
dc.subject | MORTALITY | |
dc.subject | LEGAL FRAMEWORK | |
dc.subject | FINANCE | |
dc.subject | HEALTH PROMOTION | |
dc.subject | EXPENDITURE | |
dc.subject | MARKET ECONOMY | |
dc.subject | FREE CHOICE | |
dc.subject | GRANT | |
dc.subject | EQUITY | |
dc.subject | BUDGET CONSTRAINT | |
dc.subject | COTS | |
dc.subject | WORKERS | |
dc.subject | CAPITAL | |
dc.subject | SURGERY | |
dc.subject | INCENTIVE SCHEMES | |
dc.subject | CHRONIC DISEASE | |
dc.subject | HEALTH DELIVERY | |
dc.subject | USER FEES | |
dc.subject | FAMILY | |
dc.subject | CARE | |
dc.subject | BANK | |
dc.subject | FINANCIAL HARDSHIP | |
dc.subject | BUDGETS | |
dc.subject | DEMAND | |
dc.subject | CLAIMS | |
dc.subject | FINANCIAL DISCIPLINE | |
dc.subject | EXPENDITURES | |
dc.subject | INSURANCE AGENCY | |
dc.subject | MANDATES | |
dc.subject | TEACHING HOSPITALS | |
dc.subject | ASSETS | |
dc.subject | PAYMENT ARRANGEMENT | |
dc.subject | COST PER CASE | |
dc.subject | HEALTH CARE PROVIDER | |
dc.subject | PRIMARY HEALTH CARE | |
dc.subject | HEALTH SYSTEM | |
dc.subject | INSURANCE | |
dc.subject | WEIGHT | |
dc.subject | PREGNANT WOMEN | |
dc.subject | HEALTH CARE DELIVERY | |
dc.subject | BUDGET DEFICITS | |
dc.subject | HOSPITAL “DISTRICTS | |
dc.subject | HUMAN RESOURCES | |
dc.subject | PUBLIC FACILITIES | |
dc.subject | HEALTH PROVIDERS | |
dc.subject | POVERTY | |
dc.subject | HEALTH EXPENDITURE | |
dc.subject | ILLNESS | |
dc.subject | PRIVATE PHARMACIES | |
dc.subject | COOPERATION | |
dc.subject | REHABILITATION | |
dc.subject | POPULATION | |
dc.subject | STRATEGY | |
dc.subject | FEES | |
dc.subject | REGISTRATION | |
dc.subject | MEDICINES | |
dc.subject | HEALTH FINANCING | |
dc.subject | HOSPITALS | |
dc.subject | PAYMENT SYSTEMS | |
dc.subject | HEALTH CARE SYSTEMS | |
dc.subject | HEALTH SERVICE | |
dc.subject | RECURRENT COSTS | |
dc.subject | HEALTH SERVICES | |
dc.subject | IMPLEMENTATION | |
dc.subject | EQUITABLE DISTRIBUTION | |
dc.subject | PROVIDER PAYMENT | |
dc.title | Assessment of Systems for Paying Health Care Providers in Mongolia | en |
dc.title.subtitle | Implications for Equity, Efficiency and Universal Health Coverage | en |
dc.type | Report | en |
dc.type | Rapport | fr |
dc.type | Informe | es |
dspace.entity.type | Publication | |
okr.date.disclosure | 2015-08-20 | |
okr.date.doiregistration | 2025-05-07T09:56:53.974002Z | |
okr.doctype | Economic & Sector Work::Policy Note | |
okr.doctype | Economic & Sector Work | |
okr.docurl | http://documents.worldbank.org/curated/en/2015/08/24932894/assessment-systems-paying-health-care-providers-mongolia-implications-equity-efficiency-universal-health-coverage | |
okr.guid | 931011468001483284 | |
okr.guid | 711891467991004186 | |
okr.identifier.externaldocumentum | 090224b083087ded_1_0 | |
okr.identifier.internaldocumentum | 24932894 | |
okr.identifier.report | 98790 | |
okr.imported | true | |
okr.language.supported | en | |
okr.pdfurl | http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/08/20/090224b083087ded/1_0/Rendered/PDF/Assessment0of00rsal0health0coverage.pdf | en |
okr.region.administrative | East Asia and Pacific | |
okr.region.country | Mongolia | |
okr.sector | Health and other social services | |
okr.sector | Public Administration, Law, and Justice | |
okr.theme | Public sector governance :: Other accountability/anti-corruption | |
okr.topic | Bankruptcy and Resolution of Financial Distress | |
okr.topic | Access to Finance | |
okr.topic | Debt Markets | |
okr.topic | Finance and Financial Sector Development | |
okr.topic | Health, Nutrition and Population::Health Monitoring & Evaluation | |
okr.topic | Health, Nutrition and Population::Health Systems Development & Reform | |
okr.unit | Social Protect Labor - GP (GSPDR) |
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