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9780821375488: Governing Mandatory Health Insurance: Learning from Experience

Sinopsis

Mandatory health insurance schemes are being proposed or expanded in many developing countries, but with relatively little attention to how they should be governed. This book considers how five dimensions of governance-coherent decision - making structures, stakeholder participation, transparency and information, supervision and regulation, and consistency and stability - influence the coverage, financial protection, and efficiency of mandatory health insurance entities. It also looks at the institutional and political forces that affect the behavior of such entities within their social and historical context. It addresses these issues by analyzing experiences from four countries - Chile, Costa Rica, Estonia, and the Netherlands - and develops lessons for developing countries related to these important dimensions of governance, paying special attention to questions of assuring solvency, financial protection, and quality health care services.

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Reseña del editor

Although mandatory health insurance programs are being proposed or expanded in many developing countries, relatively little attention has been given to how these programs are governed. The available literature focuses almost exclusively on operational features that are important but will necessarily change over time - such as eligibility, benefit packages, and premiums. Governing Mandatory Health Insurance instead looks at the institutional and political forces that affect the behavior of such programs within their social and historical contexts and how five dimensions of governance - coherent decision-making structures, stakeholder participation, transparency and information, supervision and regulation, and consistency and stability - can influence the long-term performance of health insurance programs in terms of coverage, financial protection, efficiency, and sustainability. Governing Mandatory Health Insurance addresses these issues by drawing on the experiences of four countries - Chile, Costa Rica, Estonia, and the Netherlands. It shows how governance works in these countries and extracts lessons for developing countries with mandatory health insurance programs, focusing on the mechanisms for assuring solvency, financial protection, and health care services of good quality.

Biografía del autor

William Savedoff has been working for more than 20 years on economic and social development issues. His work is focused on finding ways to improve the quality of social services in developing countries, with particular attention to incentives, institutions, and political-economy.

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