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AFRO-NETS> RFI: Performance Based Reimbursement of Health Services







RFI: Performance Based Reimbursement of Health Services
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Hello all - we are two Management Sciences for Health (MSH) employees 
looking for information for a research paper on performance based re-
imbursement of health services. If you or anyone you know could help 
us out (feel free to forward this message), we would greatly appreci-
ate it - many thanks!

PERFORMANCE BASED REIMBURSEMENT

Reimbursement mechanisms that use measures of performance as a condi-
tion of payment are beginning to be implemented in the health sectors 
of developing countries. These mechanisms have been designed to en-
courage results by offering financial rewards to entities, teams, and 
individuals that achieve performance targets. Some initiatives are 
part of national health reforms and others have the potential to help 
inform the development of policy on national reform. The goals of 
performance reimbursement schemes include improved quality, improved 
responsiveness to consumer preferences, improved efficiency, and im-
proved access. 

WHY WE NEED YOUR HELP

As part of the USAID-funded LAC Health Reform Initiative, we are re-
viewing literature on performance-based reimbursement for provision 
of health services, and how it can be integrated into health reform. 
While we've come across a fair amount of information on performance 
incentives, contracting, and performance-based contracting in devel-
oped health systems, we haven't seen a great deal on the application 
of performance-based reimbursement mechanisms to improve the provi-
sion of health services in developing countries.

WHAT WE'RE LOOKING FOR

We're particularly interested in the answering the following ques-
tions:
* In what settings is performance-based reimbursement appropriate?
* What is known about design and implementation of performance-based
  reimbursement programs (especially contracts)?
* What results have been documented?
* What are the gaps in knowledge about performance-based reimburse-
  ment?

We are looking for experience of performance-based reimbursement used 
between:
* donors and governments
* donors and NGOs
* governments and NGOs
* central and local governments
* governments and teams in public institutions
* insurers and service providers
* health institutions and their staff

CONTACT US

If you know of any studies or documentation (published or unpub-
lished) of experiences in any of the areas listed above, we would 
very much appreciate it if you would contact us at the coordinates 
below:

Peter Sipe and Rena Eichler
Health Reform and Finance Program
Management Sciences for Health
165 Allandale Road
Boston, MA 02130-3400, USA
Tel: +1-617-524-7799
Fax: +1-617-524-2825
mailto:[email protected]

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