Health Financing and Delivery in Vietnam Kevin Arts April 25, 2012.

Slides:

Advertisements

Similar presentations

Health Care Sector Efficiency: Measuring and improving it

Advertisements

Poverty and the Environment Understanding Linkages at the Household Level Kirk Hamilton The World Bank.

Higher Education Authority An tÚdarás um Ard-Oideachas HEA 1 The Labour Market and Higher Education in Ireland 13 February 2007.

José Pavão Nunes World Forum OECD June 2007 Pension Funds in Portugal.

Measurement of Government Output and Productivity for the National Accounts: Interim Report Tony Atkinson.

Plenary session VIII: Steps and suggestions to write the country study Marco V Sanchez (UN-DESA) Third training workshop on Assessing Development Strategies.

Dollars and Sense: Economic Arguments for Medicaid in Massachusetts Robert Seifert Massachusetts Medicaid Policy Institute Health Action 2006 January 27,

© 2005 POPULATION REFERENCE BUREAU Improving the Health of the Worlds Poorest People.

Health Care Spending Growth

1 Moving Towards Higher-Value Health Care Katherine Baicker Professor of Health Economics Harvard School of Public Health and NBER.

®® 1 The Challenges of Health Care Cost Growth Marilyn Moon American Institutes for Research February 4, 2008.

TABLE OF CONTENTS CHAPTER 1.0: Trends in the Overall Health Care Market Chart 1.1: Total National Health Expenditures, 1980 – 2005 Chart 1.2: Percent Change.

TABLE OF CONTENTS CHAPTER 1.0: Trends in the Overall Health Care Market Chart 1.1: Total National Health Expenditures, 1980 – 2010 Chart 1.2: Percent.

The big picture A tough decade has come to an end and there now is an opportunity to strengthen the quality of education.

Oregon Health Care Reform "Letting Go of the Rope"

THE COMMONWEALTH FUND Figure 1. Health Insurance Coverage and Uninsured Trends Data: Analysis of the U.S. Census Bureau, Current Population Survey Annual.

The Millennium Development Goals Indicators & Trends

Presenter Name(s) Issue date National Student.

The Vermont Health Care Commission 2005 Future Directions for Health Care Reform in Vermont Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair.

Minnesota Health Care Market Trends and Strategies for Cost Containment Health Care Transformation Task Force July 30, 2007 Julie Sonier Director, Health.

History of Minnesota Cost Containment Efforts Certificate of need and hospital moratorium MinnesotaCare reforms and initiatives.

Inequalities in the older population: Evidence from ELSA James Banks, Carl Emmerson, Alastair Muriel and Gemma Tetlow 18 th November 2008.

Process of developing Five-year Health Plan (2011 – 2015) Department of Planning & Finance (DPF)/MOH.

Health care policy in Palestine: challenges and opportunities

Water Governance in The Netherlands and Asian Countries The Importance of a Coherent Legal Framework for the National Implementation of IWRM Principles.

Choosing services Integrating Concerns for Cost-Effectiveness, Financial Protection, and the Worse Off Ole F. Norheim Professor in Medical Ethics and Philosophy.

American healthcare reform: Possible lessons for Iran Carol Molinari, PhD Associate Professor University of Baltimore Baltimore, MD US.

Group 3 Irrational use of Medicine and medical technology.

HOW THE NON-STATE SECTOR ENGAGE TO STEWARDSHIP OF MIXED SYSTEM IN IN VIETNAM Health Strategy and Policy Institute - Vietnam.

Universal Coverage – Can we guarantee health for all? 3 – 4 October 2011, Kuala Lumpur Nossal perspective.

THE COMMONWEALTH FUND 1 Benefit Design for Public Health Insurance Plan Offered in Insurance Exchange Current Medicare benefits* New Public Health Insurance.

COMPUTER B Y : L K. WINDOWS INFORMATION B Y : L K.

Active employment policies IN EUROPEAN UNION AND GREECE

April 2014 The four health systems of the United Kingdom: how do they compare?

Education Pays 2013For detailed data, see: trends.collegeboard.org. Median Earnings and Tax Payments of Full-Time Year-Round Workers Ages 25 and Older,

Prof.dr Tammo H.A. Bijmolt Do Political or Economic Factors Drive Healthcare Financing Privatisations? Empirical Evidence from OECD.

Financing Health Care SA407 User Charges Wednesday, 21 October 2009 Faisal Latif Miranda Perra.

From Research: Measuring what matters To Impact: Making measures matter.

Health Care Reform in Massachusetts and Vermont Modern-day microcosms of universal coverage in America Kevin Liaw, MD University of Tennessee, Knoxville.

EU and Wider Neighborhood Ukraine. EU and Wider Neighborhood Health Gap Main problem –premature adult morbidity and mortality Economic issue –loss of.

Part I: Basic Economics Tools

Evidence and Information for Policy The World Health Survey Health System Metrics Glion, September 2006.

Cost-Containment, Medical Technology and Access to Care: A Comparative Analysis of Health Policy in the United States, the United Kingdom And Canada Emily.

Health System Overview 1. General Health System Facts Several vertically integrated public insurers/providers for different parts of population (social.

The Future of Long-Term Care: What Is Its Place in the Health Reform Debate? Howard Gleckman Tax Policy Center June 16, 2009.

“The challenge, it seems to me, is not to cover everyone. Or even to give everyone the same cover. Rather, the … challenge … is really about narrowing.

Russian Federation: Linking Health, Poverty and Economic Growth Jack Langenbrunner The World Bank Moscow July 2004.

The Czech Health System – its Presence and Future Pavel Hroboň L.Dittrich.

P4P and China’s Health Care Reform: Current State, Opportunities and Challenges Winnie Yip Reader in Health Policy and Economics University of Oxford “Incentives.

Overweight Employee Population 1. Obese Employee Population 2.

 Health insurance is a significant part of the Vietnamese health care system.  The percentage of people who had health insurance in 2007 was 49% and.

Copyright McGraw-Hill/Irwin, 2002 The Health Care Industry Quality of Care Limited Access Increasing Demand for Health Care Role of Health Insurance.

3 August 2004 Public Health Practice III: FINANCING PUBLIC HEALTH REFORM Thomas E. Novotny MD MPH University of California San Francisco Institute for.

The Evolution of China’s Social Policies Richard Herd (Feb 28, 2013)

Benefit Incidence of Government Healthcare Spending in Asia-Pacific Countries: Provisional Results from Equitap 2 Ravi Rannan-Eliya, Chamara Anuranga.

Tanzanian German Programme to Support Health The Health Financing Component Supporting Social Health Protection and Health Financial Management in Tanzania.

An International Comparison of Healthcare and Pharmacy Practice Jason Milton, Pharm.D. Candidate College of Pharmacy University of Georgia June 02, 2006.

OHIO HEALTHCARE COVERAGE REFORM INITIATIVE April 2008.

2 H i g h e r E d u c a t i o n © Oxford University Press, All rights reserved. Chapter 12: Health and health care Barr: Economics of the Welfare.

Health Systems and EU enlargement - an accession country’s view Tit Albreht, M.D., M.Sc., Institute of Public Health of the Republic of Slovenia Bad Gastein,

HEALTH FINANCING MOH - HPG JAHR UPDATE ON POLICIES Eleventh Party Congress -Increase state investment while simultaneously mobilizing social mobilization.

Overview of China’s health care reform Wen Chen, Ph.D., Professor Fudan School of Public Health March 21, 2016.

Promoting social cohesion in Korea. Social spending is low but increasing rapidly Rising income inequality and relative poverty and the factors behind.

The Republic of Sudan: Health Financing Options

Africa’s health challenge and institutional context

Incentivizing Private Sector

Introduction to Health Systems

Illustrative Health Reform Goals and Tracking Performance

Triggering the Creation of a Public Health Insurance Plan

Challenges and Opportunities for Future Public Spending

Presentation transcript:

Health Financing and Delivery in Vietnam Kevin Arts April 25, 2012

Background Vietnam has excellent health outcomes… Life expectancy U5 mortality rate Maternal mortality rate Public health *Communicable disease …given its development status and spending.

History of Health System Independence (1954 – 1975) Unification (1975 – 1985) Doi Moi (1986 – Present)

Economic Effects of Doi Moi

Health Sector Reforms Market Mechanisms Policy Adjustments 1991: National Target Programs 1993: Social Health Insurance 1994: Salary Support 1995: Fee Schedule + Supply-Side Subsidies

Recent Reforms 2003: Decision : Benefit reform* 2000s: Autonomization*

Challenges and Solutions Breadth of Coverage Few Low-Hanging Fruit Inequities Source: Lieberman and Wagstaff 2009

Challenges and Solutions Depth of Coverage Out-of-Pocket Catastrophic Health Costs Source: Lieberman and Wagstaff 2009

Challenges and Solutions Rising Cost of Care Throughput Case mix Unexplained Source: Lieberman and Wagstaff 2009

Conclusion Vietnam has high health outcomes on relative and per dollar bases… Due to economic growth and policy interventions… But problems remain with respect to breadth and depth of coverage + cost of care + inequities

Sources International Labor Organization (2006), Vietnam Social Health Insurance: Current Issues and Policy Recommendations. Lieberman, Samuel and Adam Wagstaff (2009), Health Financing and Delivery in Vietnam: Looking Forward, The World Bank. Trinh Kuu, Duke (1998), Vietnamese Health Care, Stanford Medical Review. The World Bank (2012), World Development Indicators: Vietnam. World Health Organization (2011), Viet Nam: Health Profile.