Presentation at the Regional stock taking meeting on the implementation of the Investment Approach in EECA: Moving from analysis to action and investing for sustainable impact (23-25 February 2016, Vienna, Austria)
Kegler Brown Hill & Ritter's 2011 Ohio Healthcare Summit offered an in-depth look at National and Ohio Healthcare Reform, Legal Challenges, Regulation and Implications for Healthcare Providers, Medical Malpractice, and the Health Information Exchange.
The document discusses National Health Accounts (NHA) in Bangladesh. It provides definitions of NHA according to WHO as a systematic monitoring of health resource flows. It summarizes the Bangladesh NHA (BNHA) framework which incorporates financing agents and providers. Key results from BNHA show total health expenditure increasing from 1997 to 2007 with households contributing through out-of-pocket payments mostly for medicines. While GDP spending on health increased slightly over time, public spending remained around 1% of GDP.
A critical assessment of health care purchasing in Tanzania: a comparison of ...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted Tanzania.
The document outlines the key components of the US healthcare system including:
1) There is no centralized national planning authority, with administration applied at the project or program level and legislative, executive, and judicial branches all having authority to enact laws and determine budgets and programs.
2) Resources such as workforce, facilities, commodities, and knowledge are produced through various public and private means including medical schools, hospitals, research institutions, and pharmaceutical companies.
3) Economic support comes from a variety of public and private sources including private health insurance, social security, governmental aid, foreign aid, and other revenues.
Strategic purchasing: a comparative assessment of Civil Servant Medical Benef...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted in Thailand
Sustainability and Transition Policy in Action (GF Session) - Tural Gulu, Az...OECD Governance
This presentation was made by Tural Gulu, Azerbaijan, at the 2nd Health Systems joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
As providers face increasing regulation, it is critical to understand the driving forces behind these laws, the barriers to adoption, and the practical ways these new rules can be turned into opportunities. Learn the history and importance of recent legislation (including ARRA and HITECH), the purpose and practical implications of Meaningful Use, an overview of requirements for Meaningful Use Stage 1 and updates on Stage 2.
Stage 2 Meaningful Use - Transforming into a Superhero (Alabama MGMA)Greenway Health
The document provides an overview of stage 2 meaningful use requirements and incentives in the US. It discusses proposed changes to stage 1 measures, timing for stage 2, incentives for eligible providers, and goals around health information exchange and use of certified electronic health record technology.
Kegler Brown Hill & Ritter's 2011 Ohio Healthcare Summit offered an in-depth look at National and Ohio Healthcare Reform, Legal Challenges, Regulation and Implications for Healthcare Providers, Medical Malpractice, and the Health Information Exchange.
The document discusses National Health Accounts (NHA) in Bangladesh. It provides definitions of NHA according to WHO as a systematic monitoring of health resource flows. It summarizes the Bangladesh NHA (BNHA) framework which incorporates financing agents and providers. Key results from BNHA show total health expenditure increasing from 1997 to 2007 with households contributing through out-of-pocket payments mostly for medicines. While GDP spending on health increased slightly over time, public spending remained around 1% of GDP.
A critical assessment of health care purchasing in Tanzania: a comparison of ...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted Tanzania.
The document outlines the key components of the US healthcare system including:
1) There is no centralized national planning authority, with administration applied at the project or program level and legislative, executive, and judicial branches all having authority to enact laws and determine budgets and programs.
2) Resources such as workforce, facilities, commodities, and knowledge are produced through various public and private means including medical schools, hospitals, research institutions, and pharmaceutical companies.
3) Economic support comes from a variety of public and private sources including private health insurance, social security, governmental aid, foreign aid, and other revenues.
Strategic purchasing: a comparative assessment of Civil Servant Medical Benef...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted in Thailand
Sustainability and Transition Policy in Action (GF Session) - Tural Gulu, Az...OECD Governance
This presentation was made by Tural Gulu, Azerbaijan, at the 2nd Health Systems joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
As providers face increasing regulation, it is critical to understand the driving forces behind these laws, the barriers to adoption, and the practical ways these new rules can be turned into opportunities. Learn the history and importance of recent legislation (including ARRA and HITECH), the purpose and practical implications of Meaningful Use, an overview of requirements for Meaningful Use Stage 1 and updates on Stage 2.
Stage 2 Meaningful Use - Transforming into a Superhero (Alabama MGMA)Greenway Health
The document provides an overview of stage 2 meaningful use requirements and incentives in the US. It discusses proposed changes to stage 1 measures, timing for stage 2, incentives for eligible providers, and goals around health information exchange and use of certified electronic health record technology.
This document discusses the Vietnam Health Information Technology Program (VHITP) and its goals of creating an integrated health information network called Healthnet (Healthnet.vn) to distribute health information to communities in Vietnam. The network aims to securely collect health data to provide better healthcare services and support the doctor-patient relationship. It also aims to aggregate data in real-time for managers and decision makers. Key objectives of Healthnet.vn include collecting secure clinical data to provide authorized professionals with up-to-date patient information and using combined data to provide health authorities a real-time view of community health and services usage.
The meaning of meaningful use 2010 05-14 missouri rural hospital hit conferencelearfield
This document summarizes a presentation about meaningful use of health information technology. It discusses the national drivers behind implementing health IT, including several reports identifying medical errors as a major issue. It outlines the HITECH Act which provides financial incentives through Medicare and Medicaid to encourage providers and hospitals to meaningfully use certified electronic health records. It describes the proposed objectives and measures for stage 1 meaningful use, including both clinical quality reporting and other objectives requiring data submission or attestation. Regional extension centers are introduced as resources to help providers achieve meaningful use.
According to the MarkNtel Advisors’ research report, “UAE Telehealth Market Analysis, 2021,” the market is likely to grow at a CAGR of around 25% during 2021-26 due to the surging consumer demand & patient acceptance for enhanced quality of care, the burgeoning geriatric population, and the increasing number of chronic diseases, such as cancer, diabetes, and neurological issues.
Learn more about the next stage in Meaningful Use and how that affects today's health care providers.Will there be changes in the measures required to receive Medicare or Medicaid Incentive funds? Will there be any changes to data capturing? Find out in this informative presentation.
CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Budget execution - Eva Zver, Josar Dusan, SloveniaOECD Governance
This presentation was made by Eva Zver and Josar Dusan, Slovenia, at the 2nd Health Systems joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a webinar on Tuesday, June 10, 2014 from 12:00pm - 1:00pm EDT that focused on all components of the Round Two Model Test Award opportunity. The webinar also highlighted the requirements for submitting an application as well as considerations regarding the application review process.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
National health accounts and estimates of health expenditure for indiaTR Dilip
This document discusses national health expenditure estimates in India using the System of Health Accounts methodology. It provides an overview of the purposes and components of health accounts, including the functional, provider, and financing classifications. It then summarizes key findings from India's National Health Accounts estimates for 2017-18, such as household out-of-pocket expenditures being the dominant component of total health spending. The document concludes by noting some limitations of the estimates and future needs, such as extending the analysis to state-level accounts.
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
There is no centralized national authority for health management and planning in the US, which is applied at the project or program level instead. Legislation, regulation, and organization of health programs are handled by various governmental and private entities. The delivery of healthcare systems includes primary, secondary, tertiary, long-term, and palliative care provided through both public and private means.
The document summarizes WHO's perspective on proposed reforms to Hungary's health insurance system. The WHO has two main concerns: 1) There is no logical link between the problems identified in Hungary's system and the solution of introducing competitive private health insurance. 2) Analyzing the system using labels like "Beveridge" and "Bismarck" is outdated and misleading. The WHO believes the reforms will greatly increase costs without clear benefits and that Hungary should learn from countries with similar systems rather than those proposed as models.
This document is a lecture on financing health care in the United States. It discusses how health insurance works by spreading risk over large pools of people. Insurers pay providers based on diagnosis and procedure codes, using contracted rates. The lecture describes the types of private health insurance like indemnity plans, Blue Cross/Blue Shield, and various managed care plans. It also discusses the roles of government programs like Medicare and Medicaid, as well as laws regulating private insurance such as ERISA, COBRA, HIPAA, and the Affordable Care Act.
The document discusses health care financing in Myanmar. It outlines the goals of a health system to provide good health outcomes, responsiveness, and fairness in financing. It then describes the various methods of health care financing in Myanmar including tax-based public financing, user fees, social security benefits, out-of-pocket payments, donor funding, health insurance, and community-based health insurance. It notes that Myanmar aims to explore alternative financing systems to augment roles of other providers and strengthen universal coverage while protecting people from financial hardship due to illness.
Medicaid is a government health insurance program for low-income families and individuals established in 1965 under President Lyndon B. Johnson as part of the Social Security Amendments. It is administered by individual states according to federal guidelines and provides coverage for various medical services and benefits. While states pay 50% of costs, there is ongoing controversy around eligibility requirements and costs as states aim to reduce spending through managed care programs while maintaining federal funding.
Consolidated billing requires skilled nursing facilities (SNFs) to bill Medicare Part A for all services, with a few exceptions, furnished to residents during a covered Part A stay. This addresses prior problems of duplicate billing by SNFs and outside providers to Parts A and B. It also reduces beneficiary coinsurance and improves SNF care coordination. While physician services remain billable to Part B, diagnostic tests must be billed through the SNF, with the professional component billable to Part B and the technical component included in the SNF's Part A per diem payment. Recent claims processing changes now automatically detect and reject improper Part B billing for technical components during a Part A stay.
Marcella Marletta - EU HTA Cooperation Answering National NeedsMarcella Marletta
La presentazione del discorso "EU HTA Cooperation Answering National Needs", tenuto dalla dottoressa Marcella Marletta durante il convegno di Parigi del 29 ottobre.
This presentation was made by Ana Maria Ruiz, OECD, at the 2nd Health Systems Joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Implementing Rapid Medical Security reform in China: Importance of a Learning...IDS
A presentation by Zhenzhong ZHANG and Yunping WANG of the China National Health Development Research Center. This was given at a Future Health Systems Consortium organised event at the Global Symposium on Health System Research.
System of Health Accounts 2011: What is SHA 2011 and How Are SHA 2011 Data Pr...HFG Project
The SHA 2011 statistical manual improves upon the original by strengthening the classifications to support production of more detailed results and by introducing new classifications that expand the scope of the analysis and provide a more comprehensive look at health expenditure flows. The purpose of this brief is to present the main features of the SHA 2011 framework as well as discuss the process of its implementation and, ultimately, institutionalization within routine government operations.
This document discusses the Vietnam Health Information Technology Program (VHITP) and its goals of creating an integrated health information network called Healthnet (Healthnet.vn) to distribute health information to communities in Vietnam. The network aims to securely collect health data to provide better healthcare services and support the doctor-patient relationship. It also aims to aggregate data in real-time for managers and decision makers. Key objectives of Healthnet.vn include collecting secure clinical data to provide authorized professionals with up-to-date patient information and using combined data to provide health authorities a real-time view of community health and services usage.
The meaning of meaningful use 2010 05-14 missouri rural hospital hit conferencelearfield
This document summarizes a presentation about meaningful use of health information technology. It discusses the national drivers behind implementing health IT, including several reports identifying medical errors as a major issue. It outlines the HITECH Act which provides financial incentives through Medicare and Medicaid to encourage providers and hospitals to meaningfully use certified electronic health records. It describes the proposed objectives and measures for stage 1 meaningful use, including both clinical quality reporting and other objectives requiring data submission or attestation. Regional extension centers are introduced as resources to help providers achieve meaningful use.
According to the MarkNtel Advisors’ research report, “UAE Telehealth Market Analysis, 2021,” the market is likely to grow at a CAGR of around 25% during 2021-26 due to the surging consumer demand & patient acceptance for enhanced quality of care, the burgeoning geriatric population, and the increasing number of chronic diseases, such as cancer, diabetes, and neurological issues.
Learn more about the next stage in Meaningful Use and how that affects today's health care providers.Will there be changes in the measures required to receive Medicare or Medicaid Incentive funds? Will there be any changes to data capturing? Find out in this informative presentation.
CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Budget execution - Eva Zver, Josar Dusan, SloveniaOECD Governance
This presentation was made by Eva Zver and Josar Dusan, Slovenia, at the 2nd Health Systems joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a webinar on Tuesday, June 10, 2014 from 12:00pm - 1:00pm EDT that focused on all components of the Round Two Model Test Award opportunity. The webinar also highlighted the requirements for submitting an application as well as considerations regarding the application review process.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
National health accounts and estimates of health expenditure for indiaTR Dilip
This document discusses national health expenditure estimates in India using the System of Health Accounts methodology. It provides an overview of the purposes and components of health accounts, including the functional, provider, and financing classifications. It then summarizes key findings from India's National Health Accounts estimates for 2017-18, such as household out-of-pocket expenditures being the dominant component of total health spending. The document concludes by noting some limitations of the estimates and future needs, such as extending the analysis to state-level accounts.
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
There is no centralized national authority for health management and planning in the US, which is applied at the project or program level instead. Legislation, regulation, and organization of health programs are handled by various governmental and private entities. The delivery of healthcare systems includes primary, secondary, tertiary, long-term, and palliative care provided through both public and private means.
The document summarizes WHO's perspective on proposed reforms to Hungary's health insurance system. The WHO has two main concerns: 1) There is no logical link between the problems identified in Hungary's system and the solution of introducing competitive private health insurance. 2) Analyzing the system using labels like "Beveridge" and "Bismarck" is outdated and misleading. The WHO believes the reforms will greatly increase costs without clear benefits and that Hungary should learn from countries with similar systems rather than those proposed as models.
This document is a lecture on financing health care in the United States. It discusses how health insurance works by spreading risk over large pools of people. Insurers pay providers based on diagnosis and procedure codes, using contracted rates. The lecture describes the types of private health insurance like indemnity plans, Blue Cross/Blue Shield, and various managed care plans. It also discusses the roles of government programs like Medicare and Medicaid, as well as laws regulating private insurance such as ERISA, COBRA, HIPAA, and the Affordable Care Act.
The document discusses health care financing in Myanmar. It outlines the goals of a health system to provide good health outcomes, responsiveness, and fairness in financing. It then describes the various methods of health care financing in Myanmar including tax-based public financing, user fees, social security benefits, out-of-pocket payments, donor funding, health insurance, and community-based health insurance. It notes that Myanmar aims to explore alternative financing systems to augment roles of other providers and strengthen universal coverage while protecting people from financial hardship due to illness.
Medicaid is a government health insurance program for low-income families and individuals established in 1965 under President Lyndon B. Johnson as part of the Social Security Amendments. It is administered by individual states according to federal guidelines and provides coverage for various medical services and benefits. While states pay 50% of costs, there is ongoing controversy around eligibility requirements and costs as states aim to reduce spending through managed care programs while maintaining federal funding.
Consolidated billing requires skilled nursing facilities (SNFs) to bill Medicare Part A for all services, with a few exceptions, furnished to residents during a covered Part A stay. This addresses prior problems of duplicate billing by SNFs and outside providers to Parts A and B. It also reduces beneficiary coinsurance and improves SNF care coordination. While physician services remain billable to Part B, diagnostic tests must be billed through the SNF, with the professional component billable to Part B and the technical component included in the SNF's Part A per diem payment. Recent claims processing changes now automatically detect and reject improper Part B billing for technical components during a Part A stay.
Marcella Marletta - EU HTA Cooperation Answering National NeedsMarcella Marletta
La presentazione del discorso "EU HTA Cooperation Answering National Needs", tenuto dalla dottoressa Marcella Marletta durante il convegno di Parigi del 29 ottobre.
This presentation was made by Ana Maria Ruiz, OECD, at the 2nd Health Systems Joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Implementing Rapid Medical Security reform in China: Importance of a Learning...IDS
A presentation by Zhenzhong ZHANG and Yunping WANG of the China National Health Development Research Center. This was given at a Future Health Systems Consortium organised event at the Global Symposium on Health System Research.
System of Health Accounts 2011: What is SHA 2011 and How Are SHA 2011 Data Pr...HFG Project
The SHA 2011 statistical manual improves upon the original by strengthening the classifications to support production of more detailed results and by introducing new classifications that expand the scope of the analysis and provide a more comprehensive look at health expenditure flows. The purpose of this brief is to present the main features of the SHA 2011 framework as well as discuss the process of its implementation and, ultimately, institutionalization within routine government operations.
Medical Necessity and Recent Government Scrutiny and Theories of EnforcementAudioEducator
Know the basics of how ‘medically necessary’ services are defined by government health plans; and which often are followed by private payors in this audio session.
This document discusses the roles of NGOs in health financing innovations, implementation, and policy dialogue in Cambodia. It describes how NGOs played important roles in piloting innovations like Health Equity Funds, which help provide healthcare to poor patients. NGOs helped scale up these pilots and provided evidence to inform national policies. The document also outlines how NGOs currently implement Health Equity Funds through various models and contribute to policy discussions on issues like quality of care and poverty identification.
Presentation giving an overview of the Care Bill and the upcoming consultation. Presented on 2 May 2014 by Simon Medcalf, Deputy Director Social Care Policy and Legislation at the Department of Health at the Local-Central Government Discovery Day on the Impact of the Care Bill hosted by the Department for Communities and Local Government.
The document provides an overview of Ontario's health care system. It discusses how the Ontario government operates under a Westminster system with a Liberal minority government led by Premier Dalton McGuinty. It outlines the roles of the Ministry of Health and Long-Term Care and Local Health Integration Networks in developing health policy and overseeing service delivery. It also describes how physicians and hospitals are major private providers that receive public financing in Ontario's mixed public-private system.
Performance budgeting in Austria example: Health - Sandra Kaiser, AustriaOECD Governance
The document summarizes Austria's performance budgeting framework for its health system. It describes (1) the key actors and financing of the Austrian health system, (2) the objectives of establishing performance budgeting to link outputs and outcomes to resources, and (3) provides examples of Austria's budget structure, documents, and performance reporting at the budget chapter, global budget, and detail budget levels, including financial information and performance indicators. Evaluation of the new performance budgeting approach will assess its clarity and information overload.
The document discusses Thailand's development of a universal health coverage benefit package. It outlines the key steps Thailand took:
1) Establishing systematic processes for developing the package, involving stakeholders and using evidence-based criteria and health technology assessments.
2) Starting with a basic package focusing on primary care and high-impact services, then expanding over time as resources increased.
3) Introducing rigorous health technology assessment processes to evaluate new interventions, ensuring only cost-effective options were included.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process, findings, and recommendations. Key findings include high rates of poverty, lack of access to healthcare, and chronic health issues like diabetes and respiratory disease. Mental health and substance abuse were also areas of concern. The assessment identified poverty as a root cause impacting many health issues. It recommended addressing gaps in chronic disease management, care coordination, prevention education, and related social determinants of health.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
The CMS Innovation Center held the fourth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, June 20, 2013 from 1:00–2:00pm EDT, focused on how to achieve lower costs through improvement. This webinar also reviewed the components of the Financial Plan.
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CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The document discusses health systems and financing. It begins by defining a health system as all actors, institutions, and resources that undertake health actions, with the primary intent of improving health. Not all policies that influence health are part of the health system. The document then discusses the goals of health systems, including improving health and ensuring financial contribution. It outlines the key functions of health systems as stewardship, financing, resource generation, and service delivery. The document emphasizes the importance of aligning financing with national health plans to avoid fragmentation. It also discusses concepts of coverage, effectiveness, and factors that influence health outcomes.
Spending reviews and health care in the NetherlandsOECD Governance
Spending reviews in the Netherlands are conducted by independent working groups to generate policy options and potential savings. Two spending reviews in 2010 addressed health care spending, identifying options to increase insurance deductibles and copayments, cut entitlements, and increase copayments for long-term care. Subsequent reviews in 2012 and 2015 also examined health care costs, identifying over 100 options but noting transition costs and uncertainty around prevention savings. Spending reviews influence political party platforms and aim to control costs through non-political analysis, though success depends on the political climate and willingness to adopt reforms.
Developing Networks of Care through Long Term Conditions Year of Care Commissioning & Long Term Conditions Improvement Programmes
Bev Matthews
Programme Lead for Long Term Conditions @Bev_J_Matthews
Presentation from the Tackling Long Term Conditions conference on 29 October 2014
Health system in the perspectives of health economicsBPKIHS
Here is the slide on Health system in the perspectives of health economics. The content of this presentation doesn't belong to me. They are copied from several literature and internet
Rakoloti - Key issues facing the health sector in the next five years (2007)Thabo Rakoloti
1) Key strategic challenges facing South Africa's health sector include fragmentation of the system between public and private providers, growing maldistribution of health resources between provinces and socioeconomic groups, and inadequate pooling of financial resources.
2) Reforms are aimed at universalizing access to basic benefits for all citizens, establishing income-based cross subsidies between low- and high-risk groups, and mandatory participation in contributory pensions.
3) Other policy priorities include strengthening regulation of the medical schemes industry, implementing health technology assessments, pursuing public-private partnerships for infrastructure development, and creating frameworks for monitoring progress on Millennium Development Goals.
The document provides an overview and context for the Care Act 2014 reforms in England. It discusses the history of care and support laws over the past 65+ years. The Care Act aims to make care and support clearer and fairer by putting people's wellbeing and outcomes at the center, extending financial support, and protecting from catastrophic costs. The document summarizes regulations and guidance being consulted on to implement the Care Act, covering topics like assessment, advocacy, charging and personal budgets.
Community diagnosis involves identifying the health problems and needs of a defined population through collecting and analyzing both quantitative and qualitative data from the community. The goals are to analyze the community's health status, resources, and priorities to establish actions to improve health. The process includes initiation, data collection and analysis, diagnosis, and dissemination. Analysis identifies health indicators to assess the community's status, determinants, and potential. The results are disseminated and used to prioritize and implement intervention projects to treat issues identified in the community diagnosis.
The document discusses Canada's publicly funded, decentralized universal health system known as Medicare. It provides an overview of the key milestones in establishing universal health coverage in Canada from 1947 onward. These included the implementation of universal hospital coverage by the provinces from 1957-1972 and the establishment of the Canada Health Act in 1984 which formalized national standards for provincial health plans. The system is characterized by three layers - a universal single-payer layer for core services funded by taxes, a mixed public-private layer for services like drugs, and a mostly private layer. The decentralized nature of the system means provinces have significant autonomy but must meet national standards to receive funding. Performance on metrics like spending and life expectancy has been positive compared to international peers
2 tool to estimate patient costs literature review_finalAira Bhabe
This document provides a literature review and conceptual framework for developing a tool to estimate patient costs of tuberculosis. It discusses approaches used to measure the cost of illness, including direct costs like medical expenses and indirect costs from lost income. The review found studies on patient costs in various stages: before diagnosis, during diagnosis/pre-treatment, and during treatment. Developing the cost estimation tool will help programs understand economic barriers patients face and design interventions to reduce costs and alleviate poverty. The tool aims to assess the impoverishing impact of tuberculosis and establish evidence for poverty reduction strategies.
Similar to Building the sustainable response to TB and HIV/AIDS in Ukraine: from Scenarios to the Strategy. (20)
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Building the sustainable response to TB and HIV/AIDS in Ukraine: from Scenarios to the Strategy.
1. Building the sustainable
response to TB and HIV/AIDS in
Ukraine: from Scenarios to the
Strategy.
Nechosina Elena,
Technical Advisor of MOH Multisectoral working group
on sustainability issues
Regional stock taking meeting on the implementation of the
Investment Approach in EECA: Moving from analysis to action and
investing for sustainable impact
23-25 February 2016, Vienna, Austria
2.
3. Parties to the process:
Ministry of Health (MOH)
Multisectoral working group on sustainability issues under MOH
(representatives of government bodies, international and
national organisatons)
Policy subgroups (on HIV/AIDS and TB)
Technical and experts assistance: UNAIDS, UNODC, USAID
Project HIV Reforms in Action, USAID Project Strengthening
Tuberculosis Control in Ukraine.
5. Approaches:
«Good – money relationships» between
ordering party, payer, service provider
and service recipient.
Ukrainian context: reforms and
competitive priorities
«Scenarios constructor set»
6.
7. Reforms in Ukraine
Key reforms which
considered in the scenarios:
-Decentralisation
-Health system reform
-Social services reform
-Budget reform
As a forecasting and uncertainty
factors (when reforms will be
implemented, which model will be
implemented).
9. “Scenarios constructor set”
Is this service separate/ “autonomus’?
Or service can be simplified and included to other
service as an element?
Health service?
Social service?
Other?
State budget? Oblast budget?
Rayon budget? Budget of community?
Step 1. Service or
element?
Step 2. Type of service
(branch)?
Step 3. Level ob
budget?
Step 4. “State guarantee” or
«good will»?
Algorithm of questions and options of managerial decisions.
• Allocated budget funds for the service?
• Service “competitive” with other services of branch?
• Or service funded from budget of community if it have own
resources and “good will”?
Step 5. Procurement
procedures?
• Competition (state purchase, social order, health service
contract)
• Direct funding of institutions/ organisation?
Developed with support of
10. Step 1. Identify, is it separate service
or element of service
If -
Option 1. Separate/ autonomus service – follow to Step 2.
If -
Option 2. Not a separate service, is an element of other service -
Identify the main service – health care or social service or other
Make sure that this element is covered in the standard/ regulation of main
service
Make sure that this element is covered on unit cost of main service (staff,
consumables etc)
Comments: Important for some services (Needle and syringes programs, condom
programs, IEC, Care and support for PLHA ), in case of decision to simplify/
reduce the service.
11. Step 2. Identify type of service (branch)
– health care service, social service or
other service
If
Option 1. Health care service
Option 2. Social service
Option 3. Other type of service (according the appropriate laws)
1) Make sure that the appropriate regulations/ standards of service
exist (including the requirements for the service providers).
1A) If not, initiate developing/ approving the standards.
2) Apply rules of the type/ branch
3) Follow to Step 3.
If
Option 4. New unknown/ unnamed service
Initiate development of new Law (or amendment to existing laws)
Comments: new type of public health service was suggested according the
trends of health system reform.
12. Step 3. Identify level of service
delivering (subsidiary principle, taking
into account the decentralization
reforms)
Option 1. National level – unlikely.
Option 2. Oblast level (tertiary health care )
Option 3. Rayon level (secondary health care)
Option 4. Level of community (basic) (primary health
care and social services)
Comments: after changing of Constitution, than changing of related
laws (first of all, on Self-government, Budget Code)
13. Step 4. Identify the manner
of budget allocation
Option 1. «State guarantees» - separate budget line, subvention (for
example – diabetes, emergency ambulance etc.)
Option 2. «Common pool» of branch - subvention and budget of branch (for
example, health care subvention from state budget to local budgets)
Option 3. «Good will» - right of local authorities to fund any programs/
services by own resources.
Identify sphere/ branch of budget expendetures
Identify Key Spending Units
Identify amount of funds and scope of procurement
Follow to Step 5.
Comments: Take into account that state guarantees can be implemented in the
volume according the funds available (principle of balanced budget)
14. Example: «State Guarantees» and
«Common Pool» in health care
subvention (oblast level)
«Common pool» -
expenditure for all
health care branch
(including HIV and
TB)
«State guarantees» - directed funds for
emergency ambulance, mountainous
regions, diabetes, hemodialysis, cash
payments to HIV-positive children
Formula of health subvention amount
15. Step 5. Identify procedures
of service purchasing
Option 1. Competition (state purchase, social
order, health service contract, “money follow
client” other)
Option 2. Direct funding entities/ organisation
17. “Constructor set” in using:
«Constructor set» was presented on
meeting of MOH Sustainability working
group (august 2015) and was
recommended for the scenarios
developing.
Scenarios of 7 HIV services and 4 TB
services was developed using the
“scenario constructor”
18. Example: Prevention services for PWID, CSW, MSM
(united scenario)
State of the art
Type of service: not identified, separate. Ordering party = payer: Alliance (GF project)
Centralized procurement of consumables, grants for service delivery
Scenario А
Social service
• Type of service: socail
service, separate.
• Ordering party = payer:
Local departments of social
protection.
• Manner of budget
allocation: based on needs
assesment (“good will”)
• Type of service: element of
health care (consumables).
• Ordering party = payer:
local health department.
• Manner of budget
allocation: “blend pool” of
health care subvention).
• Type of service: new,
public health
• Details – should be
identified in future legislation
on public health.
Scenario B
Element of health care
Scenario C
New service, “public health”
Source: insert source information here
OR OR
22. Example: OST
State of the art
Type of service: health care, separate. Ordering party: Health department
Centralized purchasing the OST: Payer: Alliance, with agreement of MOH (GF project)
Service delivery Payer: local health care departments. Payer: Alliance (GF)
Scenario А
Centralized purchasing the
OST drugs
• Actual option, if the money
in state budget will be
allocated:
• Payer – MOH, state budget,
• Service delivery – Health
Department, local budget.
• B1) Purchasing the OST
drugs for all providers.
Separately – purchasing the
services
• Partial payment by patient
(or other party), partial –
from the budget
• Full payment by client
Scenario B1 and B2
Purchasing the service and
OST from the one budget
Scenario C
Partial payment by client
Scenario D
Full payment by client
e
For all scenarios:
Type of services: health care, separate.
Ordering party: health department
• B2) OST drugs included to
service cost
OR
AND
AND AND
23. Scenarios consolidation:
All suggested scenarios were analyzed
(December 2015)
The services which can be implemented with
the same scenarios were consolidated (for
example, purchasing ART and TB treatment,
services for KAP)
Consolidated scenarios were included to the
draft of Strategy and plan.
24. Strategy for a sustainable response
to TB, including drug-resistant TB,
and HIV/AIDS for the period until
2020
(will be approved by the Cabinet
of Ministry Decree)
25. Strategy for the sustainable
response to TB and HIV/AIDS.
The goal of the Strategy is to create
over a medium term an appropriate
organizational and legal conditions for a
sustainable response to TB, including
drug-resistant TB, and HIV/AIDS under
the implementation of new global public
health strategies (90-90-90, Fast Track,
The Global Plan to Stop TB).
26. Key aspects of Strategy:
Correspondence with reform process in the
state
Renewal the public policy according the new
global strategies
Targets prioritization for the resource
diversification (shared responsibilities –
budget, donors funds, client payments)
Initiating the new type of services – public
health services