Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
This newsletter describes how the Argentine Maternal-Child Health Insurance Program uses an interesting approach of combining output-based contracting with an output-based funding mechanism. Particularly innovative is the combination of enrollment...
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| Format: | Brief |
| Language: | English |
| Published: |
World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2007/03/7557892/output-based-aid-health-argentine-maternal-child-health-insurance-program http://hdl.handle.net/10986/11033 |
| Summary: | This newsletter describes how the
Argentine Maternal-Child Health Insurance Program uses an
interesting approach of combining output-based contracting
with an output-based funding mechanism. Particularly
innovative is the combination of enrollment numbers and
performance indicators as a way to address the tradeoff
between quantity and quality. The program's transfer of
performance risks to health service purchasing units and
service providers helps increase accountability and the
program design has also allowed the government to introduce
significant structural changes to the health system at
provincial level such as linking financing to results
(service delivery and outcomes), implement output and
quality information systems with regular audits, improve
costing and pricing capacity, and establish performance
based incentives for health personnel. The paper gives
conclusions and touches on how the achievements so far show
the advantages of the concept of combining output-based
contracting with output-based funding. |
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