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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Main Author:	Johannes, Lars
Format:	Brief
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	ACCESS TO HEALTH CARE BASIC HEALTH SERVICES CAPITA HEALTH SPENDING CERTIFICATION CHILD CARE CHILD HEALTH CHOICE OF PROVIDER CITIZENS DELIVERY CARE DEVELOPING COUNTRIES DIAGNOSIS ECONOMIC GROWTH EMPLOYMENT FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL INCENTIVES HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SYSTEM HEALTH COVERAGE HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SYSTEM HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATIONS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HOSPITALS IMMUNIZATION INCENTIVES FOR EFFICIENCY INDIGENOUS POPULATIONS INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFORMAL SECTOR INFORMATION SYSTEMS INSURANCE COMPANIES INSURANCE PREMIUMS INTERVENTION LOCAL AUTHORITIES MARKETING MATERNAL MORTALITY MEASLES MEDICAL RECORDS MORTALITY NATIONAL GOVERNMENT NEWBORNS OFFICIAL POLICY PATIENT PATIENT SURVEYS PATIENTS PRE-NATAL CARE PREGNANT WOMEN PRENATAL CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVIDERS SERVICE PROVISION STDS TREATMENTS VACCINATIONS WORLD HEALTH ORGANIZATION
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

id	okr-10986-11033
recordtype	oai_dc
spelling	okr-10986-110332021-04-23T14:02:53Z Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program Johannes, Lars ACCESS TO HEALTH CARE BASIC HEALTH SERVICES CAPITA HEALTH SPENDING CERTIFICATION CHILD CARE CHILD HEALTH CHOICE OF PROVIDER CITIZENS DELIVERY CARE DEVELOPING COUNTRIES DIAGNOSIS ECONOMIC GROWTH EMPLOYMENT FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL INCENTIVES HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SYSTEM HEALTH COVERAGE HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SYSTEM HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATIONS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HOSPITALS IMMUNIZATION INCENTIVES FOR EFFICIENCY INDIGENOUS POPULATIONS INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFORMAL SECTOR INFORMATION SYSTEMS INSURANCE COMPANIES INSURANCE PREMIUMS INTERVENTION LOCAL AUTHORITIES MARKETING MATERNAL MORTALITY MEASLES MEDICAL RECORDS MORTALITY NATIONAL GOVERNMENT NEWBORNS OFFICIAL POLICY PATIENT PATIENT SURVEYS PATIENTS PRE-NATAL CARE PREGNANT WOMEN PRENATAL CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVIDERS SERVICE PROVISION STDS TREATMENTS VACCINATIONS WORLD HEALTH ORGANIZATION 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. 2012-08-13T13:56:53Z 2012-08-13T13:56:53Z 2007-03 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 English OBApproaches; Note No. 13 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research Latin America & Caribbean Argentina
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	ACCESS TO HEALTH CARE BASIC HEALTH SERVICES CAPITA HEALTH SPENDING CERTIFICATION CHILD CARE CHILD HEALTH CHOICE OF PROVIDER CITIZENS DELIVERY CARE DEVELOPING COUNTRIES DIAGNOSIS ECONOMIC GROWTH EMPLOYMENT FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL INCENTIVES HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SYSTEM HEALTH COVERAGE HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SYSTEM HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATIONS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HOSPITALS IMMUNIZATION INCENTIVES FOR EFFICIENCY INDIGENOUS POPULATIONS INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFORMAL SECTOR INFORMATION SYSTEMS INSURANCE COMPANIES INSURANCE PREMIUMS INTERVENTION LOCAL AUTHORITIES MARKETING MATERNAL MORTALITY MEASLES MEDICAL RECORDS MORTALITY NATIONAL GOVERNMENT NEWBORNS OFFICIAL POLICY PATIENT PATIENT SURVEYS PATIENTS PRE-NATAL CARE PREGNANT WOMEN PRENATAL CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVIDERS SERVICE PROVISION STDS TREATMENTS VACCINATIONS WORLD HEALTH ORGANIZATION
spellingShingle	ACCESS TO HEALTH CARE BASIC HEALTH SERVICES CAPITA HEALTH SPENDING CERTIFICATION CHILD CARE CHILD HEALTH CHOICE OF PROVIDER CITIZENS DELIVERY CARE DEVELOPING COUNTRIES DIAGNOSIS ECONOMIC GROWTH EMPLOYMENT FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL INCENTIVES HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SYSTEM HEALTH COVERAGE HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SYSTEM HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATIONS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HOSPITALS IMMUNIZATION INCENTIVES FOR EFFICIENCY INDIGENOUS POPULATIONS INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFECTIOUS DISEASES INFORMAL SECTOR INFORMATION SYSTEMS INSURANCE COMPANIES INSURANCE PREMIUMS INTERVENTION LOCAL AUTHORITIES MARKETING MATERNAL MORTALITY MEASLES MEDICAL RECORDS MORTALITY NATIONAL GOVERNMENT NEWBORNS OFFICIAL POLICY PATIENT PATIENT SURVEYS PATIENTS PRE-NATAL CARE PREGNANT WOMEN PRENATAL CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVIDERS SERVICE PROVISION STDS TREATMENTS VACCINATIONS WORLD HEALTH ORGANIZATION Johannes, Lars Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
geographic_facet	Latin America & Caribbean Argentina
relation	OBApproaches; Note No. 13
description	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.
format	Publications & Research :: Brief
author	Johannes, Lars
author_facet	Johannes, Lars
author_sort	Johannes, Lars
title	Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
title_short	Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
title_full	Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
title_fullStr	Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
title_full_unstemmed	Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program
title_sort	output-based aid in health : the argentine maternal-child health insurance program
publisher	World Bank, Washington, DC
publishDate	2012
url	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
_version_	1764415278485078016

Output-Based Aid in Health : The Argentine Maternal-Child Health Insurance Program

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