By World Bank
"A consultant to aggressive Vouchers in healthiness provides instruments which may support be certain the appropriateness of aggressive vouchers to satisfy diversified coverage ambitions. The ebook explains power merits and downsides of this technique and discusses how one can carry public health and wellbeing care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in wellbeing and fitness is directed to overseas donors and healthiness care services and policymakers in built and constructing international locations.
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Extra resources for A guide to competitive vouchers in health
No Yes Introduce a provider subsidy claim scheme. No No Is it possible to identify the target group at the health facility? No No Yes Subsidize using a voucher scheme. Subsidies may not be feasible. The analysis of existing service delivery may fail to identify some of the potentially most valuable partners. For example, organizations may be working closely with the target population—and therefore potentially valuable partners for voucher distribution—but not currently providing services that address the chosen health problem.
Ministry of health officials may also view voucher schemes as loosening their control over health sector development funding. Some will probably even have ideological objections to working with the private sector, because they feel that taxpayers’ money destined for health care should not end up in private hands. Others may believe that private sector services inevitably cost more than publicly provided services. Political issues may affect support for the scheme. Voucher schemes can result in poor and underprivileged groups receiving better-quality services than the general population, which can cause resentment.
External audits may not be sufficient to ensure transparency. In theory, public organizations are more accountable to voters and taxpayers, but they may be just as susceptible to corruption as private agencies. Whichever type of agency is chosen, it makes sense to publish the criteria used for selecting providers and the agreements on fee rates (if they are not established by benchmarks). • The voucher agency must have the appropriate range of skills and experience. Needed skills include the ability to negotiate and contract with service providers and the ability to monitor performance of those contracts, including any quality specifications they may stipulate.