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Ghana National Health Insurance Scheme : : Improving Financial Sustainability Based on Expenditure Review / / Huihui Wang
Ghana National Health Insurance Scheme : : Improving Financial Sustainability Based on Expenditure Review / / Huihui Wang
Autore Wang Huihui
Pubbl/distr/stampa Washington, D.C. : , : The World Bank, , 2017
Descrizione fisica 1 online resource (68 pages)
Disciplina 368.42
Collana World Bank Studies
Soggetto topico Efficiency
Expenditure Control
Financial Sustainability
Ghana
Health Insurance
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910796047703321
Wang Huihui  
Washington, D.C. : , : The World Bank, , 2017
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Ghana National Health Insurance Scheme : : Improving Financial Sustainability Based on Expenditure Review / / Huihui Wang
Ghana National Health Insurance Scheme : : Improving Financial Sustainability Based on Expenditure Review / / Huihui Wang
Autore Wang Huihui
Edizione [1st ed.]
Pubbl/distr/stampa Washington, D.C. : , : The World Bank, , 2017
Descrizione fisica 1 online resource (68 pages)
Disciplina 368.42
Collana World Bank Studies
Soggetto topico Efficiency
Expenditure Control
Financial Sustainability
Ghana
Health Insurance
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Front Cover -- Contents -- Acknowledgments -- About the Authors -- Abbreviations -- Chapter 1 Introduction -- Background -- Objective -- Methodology and Data -- Organization of the Book -- Notes -- Chapter 2 The Country Context and Key Features of the Ghanaian Health Sector -- Country Context -- Health Outcomes -- Health Services -- Health Service Delivery System -- Health Financing System -- Notes -- Chapter 3 NHIS Overview -- Basic Features -- NHIS's Role in Health Care Financing -- Notes -- Chapter 4 NHIS Claims-Expenditure Review -- Trends in NHIS Claims Expenditures over Time -- Overview of Claims Expenditures in the Volta Region -- Claims Expenditure Distribution and Variation, by Provider -- Claims Expenditure Distribution and Variation, by Member Characteristics -- Examples of Potential Cost Saving Areas -- Summary -- Note -- Chapter 5 Factors Affecting Level and Efficiency of Claims Expenditures -- Behaviors of Service Providers and NHIS Members -- NHIA Internal Management -- Chapter 6 Designing Policies for Efficient Spending -- Recommendations -- Areas for Further Analytical Work -- Boxes -- Box 3.1 NHIS Exclusions -- Box 3.2 NHIA Accreditation Criteria -- Box 5.1 Key Formatting Issues for NHIS Claims Data -- Figures -- Figure 1.1 Development Indicators and Health Statistics in the Volta Region -- Figure 2.1 Equity in Health Outcomes, 2003-14 -- Figure 2.2 Ghana's Global Rank on Key Economic and Health Indicators, 1990-2013 -- Figure 2.3 Coverage of Essential Services, by Wealth Quintiles, 2003-14 -- Figure 2.4 Health Care Facilities, by Ownership -- Figure 2.5 Number of Health Workers per 1,000 People, by Region, 2016 -- Figure 2.6 The Flow of Funds in the Ghanaian Health Sector -- Figure 2.7 Per Capita Total Health Spending, 2005-12 -- Figure 2.8 Financing Sources of Total Health Expenditure, 2005-12.
Figure 3.1 NHIS Revenue Composition, 2005-14 -- Figure 3.2 NHIS Expenditure Composition, 2014 -- Figure 3.3 NHIS Membership Composition, 2014 -- Figure 3.4 NHIS Coverage, by Wealth Quintiles, 2008-14 -- Figure 3.5 NHIA Claims-Processing Flowchart -- Figure 3.6 Knowledge of NHIS Enrollment Features among NHIS Members -- Figure 3.7 Knowledge of NHIS Benefits among NHIS Members -- Figure 3.8 Public Health Financing, by Mechanism, 2014 -- Figure 3.9 Spending on MoH and NHIS as a Share of Total Public Spending, 2010-14 -- Figure 3.10 Public Spending on Goods and Services, by Recipient, 2012-15 -- Figure 4.1 NHIS Revenues and Expenditures, 2005-14 -- Figure 4.2 NHIS Balance and Changes in Investment Fund Assets -- Figure 4.3 NHIS Loan Balance and Interest Payments -- Figure 4.4 Claims Expenditures, by Service Type, Volta, 2014 -- Figure 4.5 Claims Expenditures, by GDRG, Volta, 2014 -- Figure 4.6 Distribution of Claims Expenditures, by Facility Type, Volta, 2014 -- Figure 4.7 Distribution of Claims Expenditures, by Facility Ownership, Volta, 2014 -- Figure 4.8 Per-Claim Expenditures, by Facility Type and Ownership, Outpatient Services -- Figure 4.9 Per-Claim Expenditures, by Facility Type and Ownership, Inpatient Services -- Figure 4.10 Per-Claim Expenditure on Outpatient Services among Primary Hospitals -- Figure 4.11 Per-Claim Expenditures on Inpatient Services among Primary Hospitals -- Figure 4.12 Benefit Incidence, by Membership Category, Volta, 2014 -- Figure 4.13 NHIS Members and Claims Expenditures, by Number of Outpatient Visits, Volta, 2014 -- Figure 4.14 NHIS Members and Claims Expenditures, by Number of Inpatient Admissions, Volta, 2014 -- Figure 4.15 Per-User Expenditures on Outpatient Services, by Age Group, Volta, 2014 -- Figure 4.16 Per-User Expenditures on Inpatient Services, by Age group, Volta, 2014.
Figure 4.17 Per-User Expenditure on Outpatient Services, by Member Category, Volta, 2014 -- Figure 4.18 Per-User Expenditure on Inpatient Services, by Member Category, Volta, 2014 -- Figure 5.1 Age Group Composition of Population Census, NHIS Member as of January 2014 and NHIS Members Continuously Enrolled for 12 Months -- Figure 5.2 NHIS Membership Attrition, January 2014-January 2015 -- Figure 5.3 Proportion of NHIS Members Continuously Enrolled for 12 Months in 2014, by Age Group -- Figure 5.4 Proportion of Members Utilizing Services in Volta, by Membership Renewal Tendency, 2014 -- Figure 5.5 Features of NHIS Claims Administration -- Figure 5.6 Share of Claims with Incomplete Information, by Facility Type and Ownership, Volta, 2014 -- Tables -- Table 1.1 Data Sources -- Table 2.1 Health Outcome Indicators in Ghana, 1960-2013 -- Table 2.2 Coverage of Essential Services, 2003-14 -- Table 2.3 Health Care Facilities, by Type -- Table 3.1 Tariff Rates for Selected DRGs, by Facility Type -- Table 4.1 Changes in the Total Claims Expenditures, by Component -- Table 4.2 Simulated Savings from Redistributing Outpatient Claims Expenditures -- Table 5.1 Labor Requirements Simulation for Processing One Month's NHIS Claims.
Record Nr. UNINA-9910960410603321
Wang Huihui  
Washington, D.C. : , : The World Bank, , 2017
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui