Financing Healthcare Course

Learning Objectives
ü Recognize the positive and normative foundations of health care financing, with specific reference to
the discourse on health systems reform, universal health coverage and equity
ü Differentiate health financing functions and models in any given health system context.
ü Compare and analyze the basic features of health care financing mechanisms in high-, middle-, and
low-income countries, including situations pertaining to migrant and refugee crises
ü Critically appraise the roles of the public and private sector in health care financing in different
contexts
ü Differentiate the tools used in the development and assessment of financing mechanisms and evaluate
their strengths and weaknesses
ü Compare and appraise the value of alternative viable health financing options to answer health system
challenges in their respective countries
Training Modules.
Overview
ü The goals of universal health coverage
ü Health financing policy and universal health coverage
ü How health financing can influence UHC
ü Beyond health financing: the wider health system and economy
ü What UHC brings to health financing policy
Main mechanisms of health care financing
ü Government funding
ü Health insurance
ü Mandatory health insurance
ü Voluntary health insurance
ü Out-of-pocket payments
Assessing financing mechanisms
ü Feasibility
ü Equity
ü Efficiency
ü Sustainability
Revenue raising
ü Revenue raising and policy objectives
ü What is fiscal space for health?
ü Efforts to increase public spending on health
ü Increasing stability and predictability
ü Summary of key messages
ü Knowledge check
Pooling revenues
ü Pooling and policy objectives
ü Desirable characteristics of pooling arrangements
ü Policy responses to fragmentation
ü Summary of key messages
ü Knowledge check
Purchasing
ü Strategic purchasing of health services
ü Challenges facing purchasers
ü Institutional arrangements and purchasing instruments
ü Paying for primary health care services
ü Paying for hospital services
ü Summary of key messages
ü Knowledge check
Benefit package design
ü Benefits, rationing and policy objectives
ü Benefit package and coverage choices
ü Using the benefit package to promote UHC
ü Aligning benefit packages
ü Summary of key messages
ü Knowledge check
Summary
ü Health financing policy overview
ü Revenue raising
ü Pooling
ü Purchasing health services
ü Benefit package design
Financial protection for the poor
Key macroeconomic, health and health care expenditure indicators
Way forward After the Training
Participants will develop a work plan through the help of facilitators that stipulates application of skills
acquired in improving their organizations. ASPM will monitor implementation progress after the training.
Training Evaluation:
Participants will undertake a simple assessment before the training to gauge knowledge and skills in the field and another assessment will be done after the training in-order to monitor knowledge gained through the training.