Designing and Implementing Health Care Provider Payment Systems : How-To Manuals Langenbrunner, John C. Cashin, Cheryl O’Dougherty, Sheila
dc.contributor.editor Langenbrunner, John C.
dc.contributor.editor Cashin, Cheryl
dc.contributor.editor O’Dougherty, Sheila 2013-06-05T22:39:25Z 2013-06-05T22:39:25Z 2009
dc.description.abstract This volume grows out of an initiative in the World Bank on resource allocation and purchasing ('RAP'), which started in 2000, and continues to publish articles and books related to strategic purchasing. The initiative emerged from such questions in developing economies as: why do individuals need help in purchasing health services from providers? Is the 'middleman' really necessary? Can people not just buy health services in the same way they would go to the local market to buy bread, milk, or fruit, especially since, throughout most of history that is what most people did? When sick, they contacted local healers directly. Public policy historically was limited largely to protecting the sick against charlatans and was enforced through ethical codes such as the Hippocratic Oath. There was no expensive technology, and most serious conditions led to death. Loss of employment and burial costs were the most expensive parts of illness. With industrialization and the scientific revolution, all this changed. As understanding about the causes, prevention, and treatment of illness expanded, interventions become more complex and expensive. Health care was no longer the exclusive domain of traditional healers. Partly because of the complexities involved, the World Bank's new health, nutrition, and population strategy has noted that 'countries increasingly not only want to know what to do (with health systems) but also how to do it, particularly how to design and manage the transition from current to reformed systems.' This volume is a step in that direction, to help countries design, manage, and implement reforms related to strategic purchasing with an emphasis on changing their provider payment systems. en
dc.identifier.isbn 978-0-8213-7815-1
dc.language.iso en_US
dc.publisher Washington, DC: World Bank
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.subject accountability mechanisms
dc.subject Accounting
dc.subject administrative costs
dc.subject aggregate costs
dc.subject allergies
dc.subject allocation of funds
dc.subject allocative efficiency
dc.subject automated teller machines
dc.subject basic health care
dc.subject beds
dc.subject budget cap
dc.subject Capitation
dc.subject Capitation Fee
dc.subject capitation payment
dc.subject Capitation Payments
dc.subject Claim
dc.subject clinical outcomes
dc.subject clinics
dc.subject collection of revenues
dc.subject conflicts of interest
dc.subject Cost per Case
dc.subject cost reductions
dc.subject cost sharing
dc.subject Cost shifting
dc.subject costs of care
dc.subject degree of competition
dc.subject direct patient
dc.subject Direct payment
dc.subject doctors
dc.subject employment
dc.subject equilibrium
dc.subject equity in access
dc.subject Essential health care
dc.subject expenditures
dc.subject families
dc.subject Fee for service
dc.subject fee schedule
dc.subject fee schedules
dc.subject Fee-for-Service
dc.subject fee-for-service method
dc.subject fee-for-service methods
dc.subject fee-for-service payment
dc.subject financial incentives
dc.subject Financial management
dc.subject financial protection
dc.subject financial risk
dc.subject financial transactions
dc.subject Fixed budgets
dc.subject fractures
dc.subject global budgets
dc.subject Hard budget
dc.subject Health Care
dc.subject health care financing
dc.subject Health Care Markets
dc.subject Health Care Per Capita
dc.subject Health Care Provider
dc.subject health care providers
dc.subject health care Research
dc.subject Health Care Resources
dc.subject health care services
dc.subject health care system
dc.subject health care systems
dc.subject Health Delivery
dc.subject Health Delivery System
dc.subject health expenditure
dc.subject health financing
dc.subject health financing reform
dc.subject Health information
dc.subject Health information system
dc.subject Health Insurance
dc.subject Health Insurance Fund
dc.subject Health Insurance Schemes
dc.subject health interventions
dc.subject Health Management
dc.subject health needs
dc.subject Health Organization
dc.subject Health Planning
dc.subject health plans
dc.subject Health Policy
dc.subject Health Programs
dc.subject health promotion
dc.subject health providers
dc.subject Health Purchaser
dc.subject health purchasers
dc.subject Health Reform
dc.subject Health Reforms
dc.subject health sector
dc.subject Health Service
dc.subject health services
dc.subject health status
dc.subject Health System
dc.subject health system performance
dc.subject health systems
dc.subject health workers
dc.subject home care
dc.subject hospital admissions
dc.subject hospital budgets
dc.subject hospital care
dc.subject hospital costs
dc.subject Hospital Discharge
dc.subject hospital sector
dc.subject hospital services
dc.subject Hospitalization
dc.subject Hospitals
dc.subject illness
dc.subject Incentives for providers
dc.subject income
dc.subject income countries
dc.subject indirect costs
dc.subject Informatics
dc.subject information asymmetry
dc.subject Information Systems
dc.subject inpatient care
dc.subject insurance systems
dc.subject insurers
dc.subject judgement
dc.subject level of payment
dc.subject low income
dc.subject managed care
dc.subject market incentives
dc.subject Medical economics
dc.subject Medical fees
dc.subject Medicare
dc.subject medicines
dc.subject moral hazard
dc.subject multiple purchasers
dc.subject National Health
dc.subject National Health Service
dc.subject negotiation
dc.subject nurses
dc.subject nursing
dc.subject nursing home care
dc.subject Nutrition
dc.subject outpatient care
dc.subject outpatient services
dc.subject Overruns
dc.subject Patient
dc.subject patient cost
dc.subject Patient information
dc.subject patient outcomes
dc.subject patients
dc.subject payment arrangements
dc.subject Payment System
dc.subject Payment Systems
dc.subject pharmacists
dc.subject physician
dc.subject Physicians
dc.subject primary care
dc.subject Primary Health Care
dc.subject Private Finance Initiative
dc.subject private insurers
dc.subject private sectors
dc.subject Provider Payment
dc.subject providers of health care
dc.subject provision of services
dc.subject public funds
dc.subject public health
dc.subject public hospitals
dc.subject public sector
dc.subject recurrent costs
dc.subject rehabilitation
dc.subject rehabilitation services
dc.subject reimbursement rates
dc.subject Risk Adjustment
dc.subject risk factors
dc.subject risk sharing
dc.subject salaries
dc.subject Salary
dc.subject social security
dc.subject surgery
dc.subject transition economies
dc.subject workers
dc.title Designing and Implementing Health Care Provider Payment Systems : How-To Manuals en
dspace.entity.type Publication
okr.doctype Publications & Research :: Publication
okr.doctype Publications & Research
okr.globalpractice Finance and Markets
okr.globalpractice Finance and Markets
okr.globalpractice Health, Nutrition, and Population
okr.identifier.doi 10.1596/978-0-8213-7815-1 48599
okr.language.supported en
okr.topic Finance and Financial Sector Development :: Bankruptcy and Resolution of Financial Distress
okr.topic Finance and Financial Sector Development :: Payment Systems & Infrastructure
okr.topic Health, Nutrition and Population :: Health Economics & Finance
okr.topic Health, Nutrition and Population :: Health Monitoring & Evaluation
okr.topic Health, Nutrition and Population :: Health Systems Development & Reform
okr.unit Human Development Sector Dept (EASHD)
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