Publication: Caveat RAPtor : Regulation in Resource Allocation and Purchasing
Date
2004-09
ISSN
Published
2004-09
Author(s)
Feeley, Frank G.
Abstract
This paper examines the effect that
existing and proposed laws and regulations can have on the
feasibility and effectiveness of arrangements for resource
allocation and purchasing for the health sector in
developing and transitional economies. The paper reviews
effects of laws and regulations on: the medical benefits
purchased, .the choice of medical provider, and .the
transaction in which care is provided. Specific reference is
made to recent experience in Russia, South Africa, Chile,
and the Philippines, as well as possible precedents from
more developed countries. Categories of law and regulation
discussed include: provider licensing, monopoly and
competition legislation, liability for professional
negligence, mandated benefits and permitted exclusions,
antidiscrimination laws, appeals procedures and other
methods of asserting patient entitlement, rate setting and
prohibitions on unauthorized provider charges, capacity
controls and purchaser discretion in selecting providers,
and patient confidentiality and collection of
payment-related data.
Citation
“Feeley, Frank G.. 2004. Caveat RAPtor : Regulation in Resource Allocation and Purchasing. Health, Nutrition and Population (HNP)
discussion paper;. © World Bank, Washington. DC. http://openknowledge.worldbank.org/entities/publication/6ff2242c-e7d1-505f-ad8b-1c7caa2881f5 License: CC BY 3.0 IGO.”