LEADER 05668oam 22007455 450 001 9910785779203321 005 20200520144314.0 010 $a1-283-60405-1 010 $a9786613916501 010 $a0-8213-9619-6 024 7 $a10.1596/978-0-8213-9618-6 035 $a(CKB)2670000000241915 035 $a(EBL)1026908 035 $a(OCoLC)794228039 035 $a(SSID)ssj0000720739 035 $a(PQKBManifestationID)12350387 035 $a(PQKBTitleCode)TC0000720739 035 $a(PQKBWorkID)10669004 035 $a(PQKB)11349909 035 $a(PQKBManifestationID)16122170 035 $a(PQKB)20621162 035 $a(MiAaPQ)EBC1026908 035 $a(Au-PeEL)EBL1026908 035 $a(CaPaEBR)ebr10602555 035 $a(CaONFJC)MIL391650 035 $a(DNLM)101584476 035 $a(US-djbf)17312583 035 $a(EXLCZ)992670000000241915 100 $a20120518d2012 uf 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aGovernment-sponsored health insurance in India : $eare you covered? /$fGerard La Forgia, Somil Nagpal 210 1$aWashington DC :$cWorld Bank,$d[2012] 210 4$dcopyright 2012. 215 $apages ;$dcm 225 1 $aDirections in development 300 $aDescription based upon print version of record. 311 $a0-8213-9618-8 320 $aIncludes bibliographical references. 327 $aContents; 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 327 $a2.1 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 327 $a2.4 India: A Genealogy of Government-Sponsored Health Insurance SchemesNotes; References; Chapter 3 Results and Cross-Cutting 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 327 $a3.5 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 327 $aProvider 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 327 $a3.13 India: Share of Top 20 Network Hospitals in Preauthorized Claims, Selected Schemes 330 $aThis book presents research findings on India's major central and state government-sponsored health insurance schemes (GSHISs). The analysis centers on the GSHISs launched since 2007. These schemes targeted poor populations, aiming to provide financial protection against catastrophic health shocks, defined in terms of inpatient care. Focus is on two lines of inquiry. The first involves institutional and "operational" opportunities and challenges regarding schemes' design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, informat 410 0$aDirections in development (Washington, D.C.) 410 0$aWorld Bank e-Library. 606 $aNational health services$zIndia 606 $aMedical care$zIndia 615 0$aNational health services 615 0$aMedical care 676 $a362.10954 700 $aLa Forgia$b Gerard M$g(Gerard Martin).$01085723 701 $aNagpal$b Somil$01541904 712 02$aWorld Bank. 801 0$bDNLM/DLC 801 1$bDLC 906 $aBOOK 912 $a9910785779203321 996 $aGovernment-sponsored health insurance in India$93794285 997 $aUNINA