{"text_format":"2","workbook":"xls","n_sheets":1,"sheets":["report2"],"not_rendered":{"charts":0,"images":0,"macros":0,"external_links":1,"defined_names":2,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"run_cost":"one","rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"report2","index":0,"n_rows":35,"n_cols":5,"rows_kept":35,"cut":false,"hidden":false,"merged":[[0,2,0,3],[0,4,0,5],[1,2,1,3],[1,4,1,5],[2,2,2,3],[2,4,2,5],[3,2,3,3],[4,2,4,3],[5,2,5,3],[6,2,6,3],[7,2,7,3],[13,2,13,3],[14,2,14,3],[18,2,18,3],[18,4,18,5],[19,2,19,3],[19,4,19,5],[20,2,20,3],[21,2,21,3],[22,2,22,3],[23,2,23,3],[24,2,24,3],[26,2,26,3],[27,2,27,3],[31,2,31,3]],"flags":["formulas_cached_only"]}
[null,"1.","Record Nr.",null,"UNINA9910796047703321"]
[null,null,"Autore",null,"Wang Huihui"]
[null,null,"Titolo",null,"Ghana National Health Insurance Scheme : : Improving Financial Sustainability Based on Expenditure Review / / Huihui Wang"]
[null,null,"Pubbl/distr/stampa",null,"Washington, D.C. : , : The World Bank, , 2017"]
[null,null,"Descrizione fisica",null,"1 online resource (68 pages)"]
[null,null,"Collana",null,"World Bank Studies"]
[null,null,"Disciplina",null,"368.42"]
[null,null,"Soggetti",null,"Efficiency"]
[{"$nulls":4},"Expenditure Control"]
[{"$nulls":4},"Financial Sustainability"]
[{"$nulls":4},"Ghana"]
[{"$nulls":4},"Health Insurance"]
[{"$nulls":4},"Ghana"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Sommario/riassunto","Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country's commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS "]
[{"$nulls":4},"claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies.  The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers' abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention."]
[null,"2.","Record Nr.",null,"UNINA9910784208203321"]
[null,null,"Titolo",null,"The new books kids like [[electronic resource] /] / edited by Sharon Deeds, Catherine Chastain ; prepared for Association for Library Service to Children"]
[null,null,"Pubbl/distr/stampa",null,"Chicago, : American Library Association, 2001"]
[null,null,"ISBN",null,"0-8389-9906-9"]
[null,null,"Descrizione fisica",null,"1 online resource (191 p.)"]
[null,null,"Disciplina",null,"011.62"]
[null,null,"Soggetti",null,"Children - Books and reading - United States"]
[{"$nulls":4},"Children's literature"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Note generali","Description based upon print version of record."]
[null,null,null,"Nota di bibliografia","Includes bibliographical reference index."]
[null,null,"Nota di contenuto",null,"Contents; Preface; Acknowledgments; Chapter 1: Where Are Your Funny Books? (Picture Books and Beginning Readers); Chapter 2: Where Are Your Funny Chapter Books?; Chapter 3: Where Are Your Poetry Books?; Chapter 4: Where Are Your Fairy Tales? (Picture Books); Chapter 5: Where Are Your Fairy Tales? (Chapter Books); Chapter 6: Do You Have Any Other Books Like The True Story of the Three Little Pigs? (Fractured Fairy Tales); Chapter 7: I Want to Read a Folktale, Legend,Myth, or Tall Tale; Chapter 8: Where Are Your Science Fiction Books?; Chapter 9: What Are Some Good Fantasy Books?"]
[{"$nulls":4},"Chapter 10: What Are Some Good Fantasy Books? (Time Travel)Chapter 11: I Want to Read an Adventure Story; Chapter 12: I Want to Read a Book about Kids Who Are Brave; Chapter 13: Where Are Your Survival Stories?; Chapter 14: Do You Have Any Books about Sports?; Chapter 15: Do You Have Any Mystery Books?; Chapter 16: Where Are Your \"I Spy\" or Other Search-and-Solve Books?; Chapter 17: Do You Have Any Really Scary Books?; Chapter"]
[null,null,null,"Sommario/riassunto","With this handy new reference, you'll be equipped to answer questions for young people who know exactly what they want as well as for those who have no idea but just know that they want something ''good.'' Seasoned librarians Deeds and Chastain surveyed children's librarians from around the country, bringing together the wisdom and experiences of librarians from both school and public library settings for one collection of expert picks. Organized around 44 topics considered by the panel to be ''the most frequently requested,'' the end "]
[{"$nulls":4},"result is chock full of more than 500 annotated book recomm"]