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JLN Countries Building Costing Manual for Provider Payment

Joint Learning Network for Universal Health Coverage (JLN) countries recognize the importance of how to pay providers for the provision of health services, but many governments struggle to establish a costing method for these services. To address this struggle, the JLN Provider Payment Mechanisms Initiative has been working with JLN countries and a Core Working Group (CWG) to establish costing methods appropriate for each country’s climate over the past couple of years.

This highlighted blog is part of a larger series sharing how JLN country members have applied knowledge from the network, improving UHC practices in their own countries through JLN tools, practical lessons, and ideas sparked by rich discussions. JLN country membership and participation has led to direct health system changes, whether by changes in integrated technology systems or in fraud and abuse in a country’s claims processes.

New PPM - IT Collaborative in the works

By Kyle Beaulieu

Two Joint Learning Network for Universal Health Coverage (JLN) initiatives—Provider Payment Mechanisms (PPM) and Information Technology (IT) joined forces earlier this month to build the new Collaborative on Data Analytics for Monitoring Provider Payment Implementation.

The meeting, held in Hanoi, Vietnam, included representatives from the Ministry of Health, Vietnam Society Security, and the Health Strategy and Policy Institute (HSPI). From August 4 through August 14, these individuals developed the foundation for the new joint Collaborative in Vietnam, which will serve as a key learning country for the Collaborative.

To understand more about the Collaborative, specifically, its mission, development, and next steps—please continue reading below.

What is the mission of the new IT & PPM joint Collaborative?

Several JLN countries are either in the midst of, or are planning major provider payment reform efforts.

Spotlight on Country Core Group - Ghana

An Interview with Dr. Cynthia Bannerman

Country Core Groups have often been referred to as the “backbone” of the Joint Learning Network. They play an instrumental role in strengthening member country engagement and leadership within the JLN. While existing CCGs vary a great deal in their level of activity, one CCG—the Ghana group—is a shining example of just why country core groups are so important.

The Ghana group is very active. According to Dr. Cynthia Bannerman, who chairs the group, countries face many challenges in implementing universal health coverage and regular open forums among stakeholders are important to discuss these challenges or emerging trends across institutions.

“Information sharing and relationship building is incredibly important since we’re each responsible for carrying out a portion of the activities that contribute to achieving universal coverage,” Dr. Bannerman said.

Creating a Mobile Money Program in Mali: A Case of Cross-Country Knowledge Sharing

How is JLN membership helping countries move closer towards achieving UHC? Through a 6-part Blog Series, we will highlight how JLN country members have applied knowledge from the network and improved processes to achieve UHC in their own countries leveraging JLN tools, practical lessons, and ideas sparked by rich discussions. Through this series, we hope to illustrate how membership in this dynamic community of policymakers and practitioners is supporting country-level progress towards UHC as well as the growing global movement.

In Part 4 of this blog series, this piece examines the study of Kenya’s M-Pesa program by JLN members in Mombasa, Kenya, ultimately resulting in the creation of a similar mobile money platform in Mali in 2013.

Universal Health Coverage and the Challenge of Informal Employment: Lessons from Developing Countries

On Thursday, June 26th, Ricardo Bitran, a senior health economist from Chile, hosted a World Bank webinar presentation entitled “Universal Health Coverage and the Challenge of Informal Employment: Lessons from Developing Countries” where he explored the topic of informal sector workers and shared the main research findings from his report on the subject, published in January 2014.

Universal Health Coverage for Women’s Health

Healthcare enthusiasts gathered in New York on Thursday to discuss women’s health services and gender inequality as a part of the universal health coverage (UHC) movement. The event, “Improving Women’s Health through Universal Health Coverage,” drew upon issues such as accessibility to and the financing of women’s health services, including reproductive care, family planning, and maternal health services. The speakers and audience cited the central need for increased funding, women’s education, and shared knowledge to better address women’s health in UHC.

Jonathan Quick, President and CEO of Management Sciences for Health (MSH), the hosting organization, stated that “we have far more to celebrate than to lament” in UHC progress, but that contrary to popular belief many women today die of preventable diseases, like breast or cervical cancer.

Ghana Leverages Costing Manual to Develop a Transparent Mechanism for Costing of Health Services

On Tuesday, 24 June 2014, Ghana’s Ministry of Health (MOH) will kick off a multi-stakeholder assessment of the cost of service delivery within the health sector. This cost assessment will leverage the Joint Learning Network for Universal Health Coverage (JLN) 10-step Manual, “Costing of health Services for Provider Payment: A Practical Approach to Cost Challenges, Trade-offs and Solutions”. Ghana will be the first country to use this manual to guide sector-level reforms.

In Ghana, as in many countries, health financing and reporting systems have not generated the required costing data needed to use many of the available, well-established costing methodologies. The current costing information does not follow a standardized approach across institutions, is often based on small samples, and does not generate routine information that is accepted and used by all stakeholders.

The New JLN Knowledge Hub Gains Momentum

In May 2014, we announced that The Joint Learning Network for Universal Health Coverage (JLN) and UHC Forward will merge web platforms and launch a new website under the JLN brand to serve as a one-stop portal for practical guides and tools that focus on the ‘how to’ of achieving universal health coverage (UHC) as well as information related to the global movement towards UHC.

Many countries are pursuing UHC to increase access to quality essential health care without financial hardship. And, for countries to achieve progress, it is critical that they have access to evidence about what works and how other countries are making progress.

As we move forward with the new-and-improved JLN website, we asked you to provide input on what you value most about the current site and what you think would be useful in a new site. Thank you to the policymakers, implementers, academics, technical assistants and students that responded!

OpenHDD cleans up health systems

**How is JLN membership helping countries move closer towards achieving UHC? Through a 6-part Blog Series, we will highlight how JLN country members have applied knowledge from the network and improved processes to achieve UHC in their own countries leveraging JLN tools, practical lessons, and ideas sparked by rich discussions.

JLN Health Services Costing Collaborative and PPM Technical Collaborative Team breaks new ground for JLN

The week of May 12 2014 was a monumental week for the JLN Provider Payment Mechanisms (PPM) Initiative and the Joint Learning Network as a whole. The JLN Health Services Costing Collaborative and PPM Technical Collaboration Team (TCT) were brought together in Geneva, Switzerland, from May 13 – 15 for three related but distinct meetings. Over the course of three productive days, participants finalized the content and future direction of the Costing Manual, presented to representatives from the World Health Organization and Global Fund, and selected a new JLN country-based management organization for the next phase of the Costing Collaborative.

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