In Ghana, provider payment methods in use currently are (a) Itemized Fee for Service (FFS) for noninsured clients for both services and medicines, (b) Diagnosis Related Groupings (DRG) for insured clients (services only), and (c) Itemized Fee for Service (FFS) for medicines of insured clients.
Changing health insurance coverage for one service may affect use of other insured services.
The Canada Health Act specifies that insured persons must be provided "reasonable access" to insured services.
In addition to developing a transparent system of prioritizing persons waiting for services, equity would require wait times for publicly funded services be comparable to those for insured and private services.
Because of current restrictions on home health care as an insured service in some countries, individuals may be required to pay for some or all of their home care services out of pocket.
Charges incurred for unnecessary emergency care are borne by the rest of society, through our tax dollars and through increased costs for insured health care services, in order to make up for all of these unpaid bills.
This database includes all payments for insured health care services provided to AHCIP registrants by in-province physicians.
Similarly, most managers of private facilities expressed an openness to collaborate with the VSS to provide health services for insured people, though noted a need to increase VSS-approved fees for services.
We undertook this study in order to explore rigorously the potential for public-private partnerships in the provision of ambulatory health services for insured people at the primary health care level in Vietnam's Mekong region.
