E-drug: Performance Based Reimbursement of Health Services
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Hello all - we are two Management Sciences for Health (MSH) employees
looking for information for a research paper on performance based
reimbursement of health services. If you or anyone you know could help us
out (feel free to forward this message), we would greatly appreciate it -
many thanks!
PERFORMANCE BASED REIMBURSEMENT
Reimbursement mechanisms that use measures of performance as a condition of
payment are beginning to be implemented in the health sectors of developing
countries. These mechanisms have been designed to encourage results by
offering financial rewards to entities, teams, and individuals that achieve
performance targets. Some initiatives are part of national health reforms
and others have the potential to help inform the development of policy on
national reform. The goals of performance reimbursement schemes include
improved quality, improved responsiveness to consumer preferences, improved
efficiency, and improved access.
WHY WE NEED YOUR HELP
As part of the USAID-funded LAC Health Reform Initiative, we are reviewing
literature on performance-based reimbursement for provision of health
services, and how it can be integrated into health reform. While we've
come across a fair amount of information on performance incentives,
contracting, and performance-based contracting in developed health systems,
we haven't seen a great deal on the application of performance-based
reimbursement mechanisms to improve the provision of health services in
developing countries.
WHAT WE'RE LOOKING FOR
We're particularly interested in the answering of the following questions:
*In what settings is performance-based reimbursement appropriate?
*What is known about design and implementation of performance-based
reimbursement programs (especially contracts)?
*What results have been documented?
*What are the gaps in knowledge about performance-based reimbursement?
We are looking for experience of performance-based reimbursement used
between:
*donors and governments
*donors and NGOs
*governments and NGOs
*central and local governments
*governments and teams in public institutions
*insurers and service providers
*health institutions and their staff
CONTACT US
If you know of any studies or documentation (published or unpublished) of
experiences in any of the areas listed above, we would very much appreciate
it if you would contact us at the coordinates below:
Peter Sipe and Rena Eichler
Health Reform and Finance Program
Management Sciences for Health
165 Allandale Road
Boston, MA 02130-3400
Tel: (617) 524-7799
Fax: (617) 524-2825
e-mail: psipe@msh.org
[Please reply directly to Peter and Rena, not to E-drug. KM, moderator]
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