Performance evaluation framework for government-sponsored health insurance programmes

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The attainment of Universal Health Coverage (UHC) is one of the key goals of the Sustainable Development Goals (SDGs), with a special emphasis on cost-effectiveness as a key success factor. So far, a number of countries have initiated health insurance programmes as a means to provide healthcare coverage, financial protection and to achieve the final goal of UHC. These programmes are based on the principles of risk pooling and purchasing of health services on behalf of the insured.

What Factors Affect Voluntary Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries? A Systematic Review and Meta-Analysis

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A research article, summarising a systematic review and meta-analysis carried out by Micro Insurance Academy (MIA), commissioned by the International Initiative on Impact Evaluation (3ie). "Factors Affecting Voluntary Uptake of Cummunity-Based Health Insurance (CBHI) Schemes in Low- and Middle-Income Countries" contains the analysis of key factors influencing the enrolment and renewal decisions for CBHI schemes, gathered from 54 relevant studies across Asia and Africa.

Health microinsurance instructional pricing tool

There are few microinsurance educational tools available to actuaries and healthcare practitioners. In response, Milliman and the International Actuarial Association have collaborated to develop a health microinsurance instructional pricing tool for the microinsurance industry. This model illustrates key actuarial principles common to health scheme pricing and describes a number of important items to consider when using available data and applying adjustments in health scheme pricing.

The value of claims analysis in health microinsurance: Learning from three South Asian cases

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Most providers of health microinsurance (HMI) can do more to understand the illness and claims patterns of insured clients. The objective of this study is to demonstrate that analysing claims data equips HMI practitioners with valuable insights to improve the client value and viability of HMI programmes. The study performs a comparative analysis of three South Asian HMI programmes – run by VimoSEWA, Uplift Mutuals and Naya Jeevan. These providers share a common geographic region and offer broadly similar insurance for hospitalization services to low-income households.

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