Financial Arrangements Working Groups DAY 1 Context Health

Financial Arrangements Working Groups DAY 1

Context Health financing is fundamental to the ability of health systems to maintain and improve human welfare. Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship. Health financing arrangements should be developed or enhanced to optimize the ability of the available health ecosystem to support the pursuit of health

Methodology Theory and Concepts Past Performance Group Think

The Main Implementation Challenges Insufficient Resources • Budget constraints (e. g. , fiscal space) • Ability for individuals to contribute and equity thereof (e. g. , Unemployment) • Tax infrastructure • Organizational capacity and skills to properly design the approach (e. g. , need for training) • Clinical gaps (even with funding, there is no one to pay) Inadequate Data • Population Health Status • Population profiles and forecasts (e. g. , due to immigration, informal markets) • Current expenditures • Monitoring and Evaluation plans • Areas of duplication and overutilization • Defining Affordability • Assessing potential return on investment • IT infrastructure Political Misalignments • Decision-making will • Inherent conflicts • Legislative paralysis or delays • Prioritization based on the election cycles • Influence of powerful lobbying including private insurers • Lack of strong public and patient advocacy • Lack of regulation Limited Buy-In • Strategic communications for public or stakeholder engagement • Cultural resistance (e. g. , why change a free system) • Effective education to improve health literacy and system knowledge • Concept of “I’m fine” • Regional silos instead of partnerships for efficiency and leverage

Key Priorities (Strategies and Requirements) Tier 1 Tier 2 • Establish Proper Costing Models and Clear Progressive or Equity-based Funding • Determine best political approaches • Strengthen Overall Economic Position • Create Strong Legislation and Regulation • Improve Information Systems • Align System Capacity and Benefits • Deliver Regional Solidarity and Collaboration • Obtain Stakeholder Buy-in • Improve Overseas Care and Purchasing Options Note that country specific needs, experience and situations must be accounted for in planning and execution. There is no one-size-fits-all approach.