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Record Nr. |
UNINA9910462495203321 |
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Autore |
La Forgia Gerard M (Gerard Martin) |
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Titolo |
Government-sponsored health insurance in India [[electronic resource] ] : are you covered? / / Gerard La Forgia, Somil Nagpal |
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Pubbl/distr/stampa |
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Washington DC, : World Bank, c2012 |
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ISBN |
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1-283-60405-1 |
9786613916501 |
0-8213-9619-6 |
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Descrizione fisica |
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1 online resource (446 p.) |
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Collana |
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Directions in development |
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Altri autori (Persone) |
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Disciplina |
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Soggetti |
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National health services - India |
Medical care - India |
Electronic books. |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Description based upon print version of record. |
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Nota di bibliografia |
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Includes bibliographical references. |
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Nota di contenuto |
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Contents; Foreword; Preface; Acknowledgments; Abbreviations; Chapter 1 Introduction; Analytical Framework and Methods; Tables; 1.1 Analytical Framework Applied to Case Studies; Case Study Selection and Summaries; Boxes; 1.1 Indian Law and Health Insurance; 1.2 Summary of Salient Characteristics of the Government-Sponsored Health Insurance Schemes, 2010; Notes; References; Chapter 2 Understanding the Context: The Development of Health Insurance in India; A Brief Review of Health Finance and Delivery in India; Figures |
2.1 India and Comparators: Public Expenditures on Health as a Share of GDP and in Relation to Income per Capita, 20082.1 India: Estimated Distribution of Health Expenditure, by Source; 2.2 India: Main Actors and Fund Flows in Health System, ca. 2005; 2.1 India: Organizational Arrangements for Risk Pooling; Financial Burden; 2.3 India and Comparators: Household Spending on Health Exceeding Thresholds; Service Delivery Issues; 2.2 India: Average Out-of-Pocket Expenditure for an Inpatient Stay, 1996 and 2004; Health Insurance in India: Context and Historical Development; Not Cut from Whole Cloth |
2.4 India: A Genealogy of Government-Sponsored Health Insurance SchemesNotes; References; Chapter 3 Results and Cross-Cutting |
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Issues; Population Coverage; 3.1 India: Population Coverage and Projected Growth, 2003-04, 2009-10, and 2015; Enrolment and Beneficiaries; 3.2 India: BPL Card Distribution and Economic Status, by Income Quintile, 2005; Benefits; 3.3 India: Number of Covered Treatment "Packages" and Maximum Benefit Coverage, 2009-10; 3.4 India: Packages Classified by Major Disease Group and by Surgical and Medical Treatment, 2010; Utilization |
3.5 India: Hospital Utilization Rates Nationally and for Selected SchemesExpenditures and Costs; 3.6 India: Estimated Expenditures on Health Insurance and Projected Growth, 2003-04, 2009-10, 2015; 3.7 India: Government Contributions to GSHISs and Public Delivery, 2008-09; 3.8 India: Average Central and State Government Spending per Beneficiary per Admission, 2009-10; Rate Setting and Provider Payment; 3.9 India: Average Hospital Charges by City Size, 2009; 3.10 India: Variation in Package Rates for Similar Procedures, 2009-10, Selected Schemes |
Provider Networks, Quality, and Patient Satisfaction3.11 India: Number of Scheme-Networked Public and Private Hospitals, 2010; 3.12 India: Minimum Number of Hospital Beds Required for Empanelment, by Scheme, 2010; The Role of Public Hospitals; 3.1 India: Alternative Organizational Arrangements of Public Hospitals; Financial Benefits and Burdens on Patients; 3.1 India: Households Falling below Poverty Line due to Inpatient and Outpatient Health Care Costs, Selected States, 2004; Cost Containment; 3.2 India: Constraints to Introducing Ambulatory Care Benefits in Health Insurance |
3.13 India: Share of Top 20 Network Hospitals in Preauthorized Claims, Selected Schemes |
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Sommario/riassunto |
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This book presents research findings on India's major central and state government-sponsored health insurance schemes (GSHISs). The analysis centers on the GSHISs launched since 2007. These schemes targeted poor populations, aiming to provide financial protection against catastrophic health shocks, defined in terms of inpatient care. Focus is on two lines of inquiry. The first involves institutional and "operational" opportunities and challenges regarding schemes' design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, informat |
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