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Agenda
Social Protection Updates on HCFS RMG
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Health Financing StrategyImplementation Plan UpdatesPresented by WHO
HF DP Meeting
03 November 2013
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Outline
Timeline for Health Care Financing Strategy (HCFS) Implementation Plan
Updates on Platforms SHI Design Elements Areas Requiring Technical Support
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TIMELINE FOR HEALTH CARE FINANCING STRATEGY (HCFS) IMPLEMENTATION PLAN 4
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Starting Point:HCFS and Implementation Plan
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1. COVERAGE
Enactment of SHI LawEnactment of SHI Law
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2. IMPLEMENTATION PLATFORMS
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UPDATES ON PLATFORMS
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1. Necessary Policies and Frameworks Formal sector
Mapping of Formal Sector SHP Schemes (on-going)
Draft Concept Note on Formal Sector Coverage
Proposal for Civil Servants Scheme RMG Scheme
Informal sector Mapping of Micro insurance
Schemes (on-going)
Below poverty line Assessment of existing schemes
(e.g. DSF, P4P) Concept Note on SSK and
Implementation Plan
Legislation Compilation of SHI Laws and
institutional set-ups Draft HF Act commented by
international and local experts Recruitment of Bangladesh
Legal Expert
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2. Coordination and Steering
With social protection Established linkage with the National Social Protection
Committee Integrating social health protection initiatives in the
National Social Protection Strategy (NSPS)
To implement the Health Care Financing Strategy HFRTG, proposed HF TWG and DP group Meetings and advocacies with concerned ministries (e.g.
Ministry of Finance) HCFS Advisory Council and Coordination Team to be
established
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3. Implementation Capacity
Organizational capacity HEU Organizational Development Workshop (Oct) Placement of additional HEU Staff
Technical capacity Regular Monday Technical Sessions: UHC and SHI design Training courses attended:
• NHA (Sri Lanka), IT Conference for UHC (Philippines), • Social Welfare System (Japan), Study Visit to PhilHealth
Conduct of research/ studies
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4. Efficiencies Needs-based Resource Allocation Formula (RAF)
presented to stakeholders and approved by the Secretary for pilot implementation
Ongoing initiatives on improving efficiency
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5. Communication and Public Support Communication Strategy on UHC and HFS drafted
and presented to HEU on 30 Oct Next steps:
Development of FAQs, flyers, presentation materials
Orientation of MOHFW on UHC and HFS
HEU advocacy and communication to other government ministries and development partners
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SOCIAL HEALTH INSURANCE (SHI) DESIGN ELEMENTS
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Feasibility of SHI Design and Implementation
Monitoring and Evaluation
Financing
options
Benefits package
Population coverage
Opera-tional
process
Organiza-tional
structure
Provider engage-
ment
Design Elements for a Social Health Insurance
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SHI Elements:Some basic and structural questions
Financing
options
Benefits package
Pop coverag
e
Opera-tions
Org structur
e
Providers
How much funding is required?
Who contributes and who is exempted?
Institutional structure and hence admin costs
How are providers paid?Plan ahead for
increased demand
Whichservices arecovered?
MarketingEnrolmentPremium collectionClaimsQuality Assurance
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AREAS REQUIRING TECHNICAL SUPPORT
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Topic/Area of Support Remarks
HF Strategy Implementation and Support
1 Development of a Comprehensive Marketing Plan for the Health Care Financing Strategy
TOR drafted
2 HCFS Monitoring and Evaluation Framework and Baseline
TOR drafted
3 Economic Evaluation in Health Initiatives – current situation, proposed framework and implementing guidelines
Requested by HEU
4 Pilot Implementation of Resource Allocation Formula
Requested by HEU
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Topic/Area of Support Remarks
SHI Design Elements
1 Baseline Catastrophic Spending for Health Care MOHFW HEU requested for support from WHO, to be followed up
2 Fiscal Space Study NSPS/ UNDP, to be completed by November 2013
3 Market Research on Formal Sector SHI Desirability, Feasibility and Willingness to Pay (Civil Servants and RMG)
Input to the Formal Sector Scheme design
4 Guidelines in the Registration and Monitoring of micro health insurance/CBHI schemes
Close follow-up of informal sector coverage
5 Costing of Health Services in Bangladesh Input to Benefit Package and Premium Contribution
6 Services of a Health Financing Research Consulting Organization
TOR draftedGuidelines on design elements –
BP, PPM, Fund Management, Member Management
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Monitoring and EvaluationMonitoring and Evaluation
Financing optionsFinancing options
-Fiscal Space-Baseline Catastrophic Spending-Market Research on willingness to pay/feasibility
Population Population coveragecoverage
-Registration and Monitoring MI
Operational Operational processprocess-Services of Health Financing Research Org
Org structureOrg structureProvider Provider EngagementEngagement
Technical Support per SHI element
Benefit packageBenefit package-Fiscal Space-Baseline Catastrophic Spending-Costing of Services