Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage

This article identifies and describes the reforms undertaken by the National Hospital Insurance Fund (NHIF) and examines their implications for Kenya’s quest to achieve universal health coverage (UHC). We undertook a review of published and grey literature to identify key reforms that had been imple...

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Main Authors:	Barasa, Edwine, Rogo, Khama, Mwaura, Njeri, Chuma, Jane
Format:	Journal Article
Published:	Taylor and Francis 2019
Subjects:	EFFICIENCY EQUITY SOCIAL HEALTH INSURANCE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH FINANCE
Online Access:	http://hdl.handle.net/10986/31150

id	okr-10986-31150
recordtype	oai_dc
spelling	okr-10986-311502021-05-25T10:54:36Z Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage Barasa, Edwine Rogo, Khama Mwaura, Njeri Chuma, Jane EFFICIENCY EQUITY SOCIAL HEALTH INSURANCE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH FINANCE This article identifies and describes the reforms undertaken by the National Hospital Insurance Fund (NHIF) and examines their implications for Kenya’s quest to achieve universal health coverage (UHC). We undertook a review of published and grey literature to identify key reforms that had been implemented by the NHIF since 2010. We examined the reforms undertaken by the NHIF using a health financing evaluation framework that considers the feasibility, equity, efficiency, and sustainability of health financing mechanisms. We found the following NHIF reforms: (1) the introduction of the Civil Servants Scheme (CSS), (2) the introduction of a stepwise quality improvement system, (3) the health insurance subsidy for the poor (HISP), (4) revision of monthly contribution rates and expansion of the benefit package, and (5) the upward revision of provider reimbursement rates. Though there are improvements in several areas, these reforms raise equity, efficiency, feasibility, and sustainability concerns. The article concludes that though NHIF reforms in Kenya are well intentioned and there has been improvement in several areas, design attributes could compromise the extent to which they achieve their intended goal of providing universal financing risk protection to the Kenyan population. 2019-01-11T20:47:12Z 2019-01-11T20:47:12Z 2018-11-06 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/31150 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Kenya
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	EFFICIENCY EQUITY SOCIAL HEALTH INSURANCE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH FINANCE
spellingShingle	EFFICIENCY EQUITY SOCIAL HEALTH INSURANCE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH FINANCE Barasa, Edwine Rogo, Khama Mwaura, Njeri Chuma, Jane Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
geographic_facet	Africa Kenya
description	This article identifies and describes the reforms undertaken by the National Hospital Insurance Fund (NHIF) and examines their implications for Kenya’s quest to achieve universal health coverage (UHC). We undertook a review of published and grey literature to identify key reforms that had been implemented by the NHIF since 2010. We examined the reforms undertaken by the NHIF using a health financing evaluation framework that considers the feasibility, equity, efficiency, and sustainability of health financing mechanisms. We found the following NHIF reforms: (1) the introduction of the Civil Servants Scheme (CSS), (2) the introduction of a stepwise quality improvement system, (3) the health insurance subsidy for the poor (HISP), (4) revision of monthly contribution rates and expansion of the benefit package, and (5) the upward revision of provider reimbursement rates. Though there are improvements in several areas, these reforms raise equity, efficiency, feasibility, and sustainability concerns. The article concludes that though NHIF reforms in Kenya are well intentioned and there has been improvement in several areas, design attributes could compromise the extent to which they achieve their intended goal of providing universal financing risk protection to the Kenyan population.
format	Journal Article
author	Barasa, Edwine Rogo, Khama Mwaura, Njeri Chuma, Jane
author_facet	Barasa, Edwine Rogo, Khama Mwaura, Njeri Chuma, Jane
author_sort	Barasa, Edwine
title	Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
title_short	Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
title_full	Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
title_fullStr	Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
title_full_unstemmed	Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage
title_sort	kenya national hospital insurance fund reforms : implications and lessons for universal health coverage
publisher	Taylor and Francis
publishDate	2019
url	http://hdl.handle.net/10986/31150
_version_	1764473656178638848

Kenya National Hospital Insurance Fund Reforms : Implications and Lessons for Universal Health Coverage

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