Publication: Government-Sponsored Health Insurance in India : Are You Covered?
La Forgia, Gerard
Since independence, India has struggled to provide its people with universal health coverage. Whether defined in terms of financial protection or access to and effective use of health care, the majority of Indians remain irregularly and incompletely covered. Finally, and most recently, a new generation of Government-Sponsored Health Insurance Schemes (GSHISs) has emerged to provide the poor with financial coverage. Briefly, the main objective of these new GSHISs was to offer financial protection against catastrophic health shocks, defined in terms of an inpatient stay. Between 2007 and 2010, six major schemes have emerged, including one sponsored by the Government of India (GOI) and five state-sponsored schemes. This new wave of schemes provides fully subsidized coverage for a limited package of secondary or tertiary inpatient care, targeting below poverty populations. Similar to the private voluntary insurance products in the country, ambulatory services including drugs are not covered except as part of an episode of illness requiring an inpatient stay. The schemes have organized hospital networks consisting of public and private facilities, and most care funded by these schemes is provided in private hospitals. Ostensibly, the objective of any health insurance scheme is to increase access, utilization, and financial protection, and ultimately improve health status. Due to lack of evaluations and analyses of household data, the authors of this book do not examine the impact of health insurance in terms of these objectives. This book is not meant to highlight problems of the GSHISs, but rather to raise potential challenges and emerging issues that should be addressed to ensure the long-term viability of these schemes and secure their place within the health finance and delivery system.
“La Forgia, Gerard; Nagpal, Somil. 2012. Government-Sponsored Health Insurance in India : Are You Covered?. Directions in development : human development;. © http://openknowledge.worldbank.org/handle/10986/11957 License: CC BY 3.0 IGO.”
Other publications in this report series
PublicationA Primer on Policies for Jobs(World Bank, 2012)A primer on policies for jobs is based on materials and input provided during the labor market courses conducted during the past 10 years. Its objective is to provide government policy makers, researchers, and labor market practitioners and other specialists with a practical guide on how to strengthen labor market institutions, especially in light of the global financial crisis. This primer emphasizes six pillars of labor market institutions: global trends, job creation, labor market policies, education, entrepreneurship, and globalization. Chapter one addresses current labor market trends and job creation, particularly in tough conditions. Chapter two examines channels of job creation and ways to strengthen labor market institutions to ensure sustainable job growth, considering factors such as investment climate, job policy, industrial policy, social protection, and other labor market issues. Chapter three focuses on labor market policies in developing countries. Chapter four highlights the impact of education and skills on labor market outcome. Chapter five discusses entrepreneurship along three key dimensions: development and growth, job creation, and female entrepreneurship. Finally, chapter six addresses the relationship between jobs and globalization.
PublicationGovernment Guarantees : Allocating and Valuing Risk in Privately Financed Infrastructure Projects(Washington, DC: World Bank, 2007)Government guarantees can help persuade private investors to finance valuable new infrastructure. But because their costs are hard to estimate and usually do not show up in the government's accounts, governments can be tempted to grant too many guarantees. Drawing on a diverse range of disciplines, including finance, history, economics, and psychology, Government Guarantees : Allocating and Valuing Risk in Privately Financed Infrastructure Projects aims to help governments give guarantees only when they are justified. It reviews the history of government guarantees and identifies the cognitive and political obstacles to good decisions about guarantees. It then develops a framework for judging when governments should bear risk in an infrastructure project (seeking to make precise the oft-invoked principle that risks should be allocated to those best placed to manage them); explains how guarantees can be valued; and discusses how aspects of public-sector management can be modified to improve the likely quality of government decisions about guarantees.
PublicationKnowledge, Productivity, and Innovation in Nigeria : Creating a New Economy(World Bank, 2010)Harnessing knowledge for development is not a new concept. Knowledge has always been central to development and can mean the difference between poverty and wealth. The knowledge economy is not just about establishing high-tech industries and creating an innovative and entrepreneurial culture. Economic literature indicates that simply adopting existing technologies widely available in developed countries can dramatically boost productivity and economic growth. This paper highlights the knowledge economy (KE) issues that confront Nigeria and offers policy prescriptions that will allow the country to take advantage of the opportunities available in moving toward a knowledge-based economy. The Knowledge Assessment Methodology (KAM) developed by the World Bank considers four pillars: a) skills and education, b) business environment, c) information and communications infrastructure, and d) innovation system.
PublicationUnderstanding and Measuring Social Capital : A Multidisciplinary Tool for Practitioners(Washington, DC: World Bank, 2002-06)The importance of social capital for sustainable development, is by now well recognized. Anthropologists, sociologists, political scientists, and economists have in their own ways, demonstrated the critical role of institutions, networks, and their supporting norms and values, for the success of development interventions. This success often hinges on accurate assessments of social capital in target communities. But the nature, and impact of social capital - the institutions, relationships, attitudes, and values that govern interactions among people - are not easily quantified. "Understanding and Measuring Social Capital" provides a conceptual review, and measurement tools, in a form readily available for development practitioners. The book discusses the respective value of quantitative, and qualitative approaches to the analysis of social capital, illustrating the discussion with examples, and case studies from many countries. It also presents the Social Capital Assessment Tool, which combines quantitative, and qualitative instruments to measure social capital at the level of household, community, and organization, drawing on multidisciplinary, empirical experiences, an application which can provide project managers with valuable baseline, and monitoring information about social capital in its different dimensions.
PublicationBuilding a Sustainable Future : The Africa Region Environment Strategy(Washington, DC, 2002)This environment strategy outlines the current thinking in the World Bank Group Africa Region about priorities and actions for the institution in the environmental arena. The Africa Region Environment Strategy (ARES) outlines the Bank's commitment to help its clients achieve sustainable poverty reduction through better environmental management. It identifies the most urgent issues at the interface of environment and poverty and discusses targeted actions for addressing them. It reviews the lessons from experience to date and proposes new approaches. The strategic context in which the ARES has evolved and will be implemented is defined by the Bank's mission statement and operational policies, the World Bank Environment Strategy (WBES), and by the Bank's broader objectives, priorities, and strategies in the Africa Region. Like the WBES, the ARES approaches environment through a "poverty lens" and targets four main objectives: a) ensuring sustainable livelihoods, b) improving environmental health, c) reducing vulnerability to natural disasters, and d) maintaining local, regional, and global ecosystems and values. Key elements of the ARES include integrating environment into development and poverty reduction strategies; building an enabling environment and the institutional and human capacity for sustainable environmental management; promoting environmentally sustainable and equitable private sector-led economic development; improving governance; and encouraging decentralization.