Publication:
Special Issues with Single-Payer Health Insurance Systems

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dc.contributor.authorAnderson, Gerard F.
dc.contributor.authorHussey, Peter
dc.date.accessioned2013-05-30T15:32:06Z
dc.date.available2013-05-30T15:32:06Z
dc.date.issued2004-09
dc.description.abstractHealth insurance systems have been broadly classified into two groups based on the number of insurance pools: single-payer and multiple-payer systems. In single-payer systems, one organization-typically the government-collects and pools revenues and purchases health services for the entire population, while in multiple-payer systems several organizations carry out these roles for specific segments of the population. This paper examines the organization and operation of single-payer health insurance systems. We classify single-payer systems into four generic models: regional/private, regional/public, central/private, and central/public. The differences between these models are the level of centralization of financing and administration of health care (regional or central) and the ownership of health care providers (mainly public or mainly private). These four models are compared in four topic areas: revenue collection, risk pooling, purchasing, and social solidarity. The single-payer models are then contrasted with systems that use multiple-payer models. The comparisons are made in the same four topics: revenue collection, risk pooling, purchasing, and social solidarity. The paper concludes with a discussion of specific issues for low- and middle-income countries considering a choice between single- and multiple-payer systems.en
dc.identifierhttp://documents.worldbank.org/curated/en/2004/09/5652820/special-issues-single-payer-health-insurance-systems
dc.identifier.doi10.1596/13686
dc.identifier.urihttps://hdl.handle.net/10986/13686
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectADVERSE SELECTION
dc.subjectCAPITAL PROJECTS
dc.subjectCLINICS
dc.subjectDENTAL CARE
dc.subjectDISEASE CONTROL
dc.subjectDOCTORS
dc.subjectECONOMIC CONSTRAINTS
dc.subjectECONOMIC EFFICIENCY
dc.subjectEMPLOYMENT
dc.subjectFAMILIES
dc.subjectFINANCIAL CONTROL
dc.subjectFINANCIAL INCENTIVES
dc.subjectFREE CHOICE
dc.subjectGLOBAL BUDGETS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE INSURANCE
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURERS
dc.subjectHEALTH NEEDS
dc.subjectHEALTH PLANS
dc.subjectHEALTH POLICY
dc.subjectHEALTH RISK
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHOME CARE
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL ROOMS
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectINCOME
dc.subjectINCOME TAXES
dc.subjectINJURY
dc.subjectINNOVATION
dc.subjectINPATIENT CARE
dc.subjectINSURANCE SYSTEMS
dc.subjectINSURERS
dc.subjectLESSONS LEARNED
dc.subjectLOTTERY
dc.subjectMANAGERS
dc.subjectMEDICAL ASSOCIATIONS
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL TECHNOLOGIES
dc.subjectMENTAL HEALTH
dc.subjectMENTAL HEALTH CARE
dc.subjectMUNICIPALITIES
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNUTRITION
dc.subjectPATIENTS
dc.subjectPHYSICIANS
dc.subjectPRESCRIPTION DRUGS
dc.subjectPRIMARY CARE
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPROMOTING HEALTH
dc.subjectPROVINCIAL GOVERNMENTS
dc.subjectPROVISIONS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH INSURANCE
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC REVENUES
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SECTOR ACCOUNTABILITY
dc.subjectPUBLIC SECTOR PERFORMANCE
dc.subjectPUBLIC SPENDING
dc.subjectQUALITY OF CARE
dc.subjectREHABILITATION
dc.subjectRESOURCE ALLOCATION
dc.subjectREVENUE COLLECTION
dc.subjectREVENUE SOURCES
dc.subjectSALES TAXES
dc.subjectSERVICE DELIVERY
dc.subjectSOCIAL CAPITAL
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL SERVICES
dc.subjectSOCIAL WELFARE
dc.subjectTAX
dc.subjectTAX RATES
dc.subjectTAX REVENUES
dc.subjectTAXATION
dc.subjectUSER CHARGES
dc.subjectWORKERS
dc.titleSpecial Issues with Single-Payer Health Insurance Systemsen
dspace.entity.typePublication
okr.date.doiregistration2025-05-05T11:42:33.075353Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2004/09/5652820/special-issues-single-payer-health-insurance-systems
okr.guid786671468780336698
okr.identifier.externaldocumentum000090341_20050310083023
okr.identifier.internaldocumentum5652820
okr.identifier.report31634
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/03/10/000090341_20050310083023/Rendered/PDF/316340HNP0AndersonSpecialIssues.pdfen
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicEnvironmental Economics and Policies
okr.topicHealth Economics and Finance
okr.topicPublic Sector Economics and Finance
okr.volume1 of 1
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