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Therefore, it seems that the respondents envisage a shift from cost-sharing through OOP to prepayment through a mix of general taxation and compulsory contributions to health insurance.
However, unlike the progressive prepayment through taxation and public health insurance which could shift funds from the rich to the poor, progressive direct payment improved access for the wealthy who financed healthcare for themselves.
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In these countries, health care expenses are mostly borne through prepayment methods through health insurance policies.
Formal, salaried sector workers and their families had been able to access pooled-prepayment options through public social security programs.
Such cross-subsidisation occurs in health systems mainly financed through prepayment mechanisms [ 2].
Essentially, the scheme is intended to replace out-of-pocket payments for health services through prepayment of insurance premiums.
3. Community financing through prepayment schemes has demonstrated some potential for provision of financial protection to all sectors of the population[ 46].
For example, many countries are moving toward universal health coverage which will be achieved mainly through prepayment health financing mechanisms where funds will be pooled to enable subsidies to flow from rich to poor and the healthy to sick (15).
Recent policy discussions have focused on how to restructure these functions to ensure that health systems in Low-and-Middle-Income Countries (LMICs) are primarily funded through prepayment mechanisms that allow for risk pooling and income cross-subsidization.
It is well understood that in order for countries to reach universal coverage, financial barriers to access to health services need to be lowered, more funds need to be raised and managed through prepayment and pooling mechanism, and a particular focus should be put on enhancing coverage of the poorer and vulnerable population groups.
Whilst the revised policy adequately covers various aspects of cost sharing through the levying of user fees, it does not explore other revenue collection mechanisms, revenue pooling and risk management through prepayment, or the resource allocation and purchasing functions of health financing.
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CEO of Professional Science Editing for Scientists @ prosciediting.com