Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions

Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions
Title Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions PDF eBook
Author OECD
Publisher OECD Publishing
Pages 138
Release 2015-11-02
Genre
ISBN 9290617322

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The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.

Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme

Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme
Title Using Casemix System for Hospital Reimbursement in Social Health Insurance Programme PDF eBook
Author Syed Aljunid
Publisher Partridge Publishing Singapore
Pages 114
Release 2020-11-26
Genre Health & Fitness
ISBN 1543761720

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Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.

OECD Health Policy Studies Better Ways to Pay for Health Care

OECD Health Policy Studies Better Ways to Pay for Health Care
Title OECD Health Policy Studies Better Ways to Pay for Health Care PDF eBook
Author OECD
Publisher OECD Publishing
Pages 170
Release 2016-06-29
Genre
ISBN 9264258213

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This report looks at payment reform, one of many policy tools being used to improve health system performance.

OECD Economic Surveys: Slovak Republic 2017

OECD Economic Surveys: Slovak Republic 2017
Title OECD Economic Surveys: Slovak Republic 2017 PDF eBook
Author OECD
Publisher OECD Publishing
Pages 148
Release 2017-06-21
Genre
ISBN 9264277544

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Slovakia’s economy continues to perform extremely well both in terms of macroeconomic outcomes and public finances. Employment is rising, prices have been stable, and the external account is near balance.

Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes)

Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes)
Title Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes) PDF eBook
Author
Publisher World Scientific
Pages 1278
Release 2019-11-25
Genre Business & Economics
ISBN 9813236124

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During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.

Diagnosis-related groups

Diagnosis-related groups
Title Diagnosis-related groups PDF eBook
Author
Publisher World Health Organization
Pages 71
Release 2020-06-30
Genre Law
ISBN 9240006710

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Economics In Practice: Evidence-based Policymaking In Singapore

Economics In Practice: Evidence-based Policymaking In Singapore
Title Economics In Practice: Evidence-based Policymaking In Singapore PDF eBook
Author Ming Leong Kuan
Publisher World Scientific
Pages 351
Release 2021-12-10
Genre Political Science
ISBN 9811250030

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Singapore is recognised to be one of the most successful economies in the world given its rapid economic and social transformation. Its success is the result of a judicious blend of markets and government, high-quality governance, and public policies that are coherent, consistent and coordinated.This book showcases the contribution of Economics to Singapore's public policymaking. To illustrate the diverse areas that economic analysis has contributed to, this book comprises three sections that span the economic and non-economic policy domains in Singapore. Section I covers economic policies relating to economic growth, trade, investments, productivity, innovation, industrial development, the enterprise landscape and manpower. Section II highlights socioeconomic and security policies, and covers themes such as income inequality and mobility, families, healthcare costs and crime. In Section III, the focus is on infrastructural policies relating to the environment, housing and land transport.This book commemorates the 20th anniversary of the Singapore Government's Economist Service. As the premier service for economists in the Singapore public sector, the Economist Service plays an integral role in supporting evidence-based policymaking through rigorous economic research and analysis of public policies.