Actuarial Costing of Universal Health Insurance and Coverage in Indonesia : Options and Preliminary Results

Actuarial Costing of Universal Health Insurance and Coverage in Indonesia : Options and Preliminary Results

This series is produced by the Health, Nutrition, and Population family (HNP) of the World Bank's Human Development Network (HDN). The papers in this series aim to provide a vehicle for publishing preliminary and unpolished results on HNP topi...

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Bibliographic Details
Main Authors:	Guerard, Yves, Wiener, Mitch, Rokx, Claudia, Schieber, George, Harimurti, Pandu, Pambudi, Eko, Tandon, Ajay
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2017
Subjects:	ABORTION ACCESS TO HEALTH CARE ADMINISTRATIVE COSTS ADMINISTRATIVE EXPENSES ADVERSE SELECTION AGE DISTRIBUTION AGE GROUPS AGING ANTENATAL CARE ANTENATAL VISITS BASIC HEALTH SERVICES BEDS BURDEN OF DISEASE C-SECTION C-SECTIONS CAPITAL COSTS CAPITATION CAPITATION FEE CAPITATION PAYMENTS CENTRAL BUDGET CHILD CARE CHILD HEALTH CHOICE OF PROVIDERS CITIES CITIZENS CLINICS COMPLICATIONS COST CONTROL COST OF CARE COST OF MEDICAL CARE COST SHARING COST-SHARING REQUIREMENTS COSTS OF CARE DECISION MAKING DELIVERY SYSTEM DEMAND FOR HEALTH DEMAND FOR HEALTH SERVICES DEMAND FOR SERVICES DEVELOPING COUNTRIES DOCTORS ELDERLY EMPLOYMENT EPIDEMIOLOGICAL CHANGES EPIDEMIOLOGY EQUAL TREATMENT EXPENDITURES EXPENSIVE FACILITIES FEE FOR SERVICE FEE SCHEDULE FEE SCHEDULES FINANCIAL BARRIERS FINANCIAL CATASTROPHE FINANCIAL IMPACT FINANCIAL INCENTIVE FINANCIAL RISK FREE CHOICE GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE RATIONING HEALTH CARE SPENDING HEALTH CARE SYSTEM HEALTH COST HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SYSTEM HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING INCREASES HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HOLISTIC APPROACH HOSPITAL HOSPITAL BEDS HOSPITAL OUTPATIENT SERVICES HOSPITALIZATION HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES ILLNESS IMPROVEMENTS IN SERVICE QUALITY INCOME INCOME COUNTRIES INCOME GROUPS INFORMAL SECTOR INFORMAL SECTOR WORKERS INPATIENT CARE INSURANCE PREMIUMS INSURERS INTERNATIONAL COMMUNITY LACK OF INFORMATION LIVE BIRTHS LOCAL GOVERNMENTS LOW INCOME MANAGED CARE MATERNAL DEATH MATERNAL HEALTH MATERNAL HEALTH CARE MATERNITY CARE MATERNITY SERVICES MEDICAL CARE MEDICAL CARE COSTS MEDICAL CONDITIONS MEDICAL COSTS MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL INSURANCE MEDICAL PROCEDURES MEDICAL SERVICES MEDICAL SYSTEM MEDICAL TECHNOLOGIES MEDICAL TECHNOLOGY MEDICINES MIDWIFE MIDWIVES MINISTRY OF HEALTH MORAL HAZARD MORTALITY NATIONAL GOVERNMENT NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL LEVELS NATIONAL POLICY NATURAL RESOURCES NUMBER OF BIRTHS NUTRITION OUTPATIENT CARE PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PHYSICIANS POLICY DECISIONS POLICY MAKERS POOR HEALTH POPULATION DISTRIBUTION POPULATION INCREASE POPULATION PROJECTIONS PRACTITIONERS PREGNANCIES PREGNANT WOMEN PRESCRIPTION DRUGS PRIMARY CARE PRIVATE DOCTORS PRIVATE HEALTH INSURANCE PRIVATE HEALTH SERVICES PRIVATE HOSPITALS PRIVATE INSURANCE PRIVATE INSURANCE POLICIES PRIVATE INSURERS PRIVATE SPENDING PROGRESS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HEALTH PROGRAMS PUBLIC HEALTH PROVIDERS PUBLIC HEALTH SERVICES PUBLIC HEALTH SPENDING PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC INSURER PUBLIC PROVIDERS PUBLIC SERVICES PUBLIC SPENDING PUBLIC SUPPORT QUALITY CONTROL QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REIMBURSEMENT RATES RICHER COUNTRIES RURAL AREAS SERVICE PROVISION SEX SEX DISTRIBUTION SOCIAL HEALTH INSURANCE SOCIAL ISSUES SOCIAL SECURITY SOCIOECONOMIC STATUS SUPPLY OF HEALTH CARE SURGERY TRANSPORTATION UNIVERSAL HEALTH INSURANCE COVERAGE URBAN AREAS VULNERABLE GROUPS VULNERABLE POPULATIONS WORKERS WORLD HEALTH ORGANIZATION YOUNG AGES
Online Access:	http://documents.worldbank.org/curated/en/685921468039053176/Actuarial-costing-of-universal-health-insurance-coverage-in-Indonesia-options-and-preliminary-results http://hdl.handle.net/10986/27795

Description
Summary:	This series is produced by the Health, Nutrition, and Population family (HNP) of the World Bank's Human Development Network (HDN). The papers in this series aim to provide a vehicle for publishing preliminary and unpolished results on HNP topics to encourage discussion and debate. The cost of a health insurance program will largely be determined by the size and composition of the covered population, the benefit package, cost sharing arrangements, the current and future supply of health care providers and facilities, and the provider payment mechanisms used. This note summarizes in broad strokes the subset of the possible Universal Coverage (UC) transition scenarios and their related costs in Indonesia. These scenarios were selected based on initial discussions with key stakeholders, and further broad-based discussion with stakeholders will be needed to finalize the design, financing and transition options. This note shows how decisions regarding the transition steps, benefit package and the choice of eligible population affect public Health Insurance (HI) expenditures as Indonesia transitions to UC. This work follows closely the earlier World Bank report health financing in Indonesia; a road map for reform.

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