By World Bank
"A consultant to aggressive Vouchers in well-being provides instruments which can aid make certain the appropriateness of aggressive vouchers to fulfill various coverage pursuits. The booklet explains power merits and downsides of this procedure and discusses how you can bring public future health care subsidies that advertise potency, innovation, and responsibility. A advisor to aggressive Vouchers in well-being is directed to overseas donors and healthiness care services and policymakers in built and constructing international locations.
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Extra info for A guide to competitive vouchers in health
Yes Introduce means-tested input subsidies. No Supply-side subsidies may not be appropriate. 28 | A Guide to Competitive Vouchers in Health Figure 3-1. Decision Tree for Supply-Side Subsidies Conducting Prefeasibility Studies | 29 UNDERSTANDING THE CONTEXT IN WHICH SUBSIDIES WILL BE INTRODUCED Before proceeding to a feasibility study, policymakers need to find out as much as they can about what has been done to address the problem and what opportunities and constraints exist to using a voucher scheme.
No Voucher scheme is not feasible. Yes Will the voucher scheme create distortions whose ill effects outweight its benefits? Voucher scheme is No feasible. To design 36 | A Guide to Competitive Vouchers in Health though it may be possible to negotiate exceptions for public sector providers, this should not be assumed in advance. Lack of Political Support The importance of political support often depends on the role that the ministry of health plays in the scheme. Even if the voucher scheme is implemented by a private organization or a nongovernmental organization (NGO), the attitude of the ministry of health toward the scheme is likely to be important.
A critical criterion is that the agency has the capacity to perform its role and to do so honestly. Financial transparency can be ensured by regular audits, but it is equally important that the organization is—and is perceived to be—objective in negotiating and awarding contracts. Administrative and Transaction Costs Voucher schemes can be administratively onerous compared with traditional supply-side subsidies, and there are significant transaction costs associated with negotiating and monitoring contracts.
A guide to competitive vouchers in health by World Bank