Mini-Guide: Fundamentals of Contract Management of Private Sector Healthcare Providers

This Mini-Guide was produced by the Joint Learning Network on Universal Health Coverage’s Virtual Learning Exchange on the Private Sector. It distills the key lessons, frameworks, and case study that were co-produced during the course of the ‘Contract Management’ workstream of the learning exchange. The primary aim of this mini-guide is to build a foundational understanding among public payers and governments about how to monitor, manage, and enforce contracts for subsidized healthcare services with private healthcare providers.

The mini–guide addresses the following key questions:

• What is contract management?
• Why is contract management of private providers important?
• What would an ideal system of contract management look like?
• How did one country (India) develop and improve its mechanisms for contract management as part of its new national health insurance reform AB–PMJAY?

A separate mini–guide ‘Fundamentals of Harnessing Private Capital for Universal Health Coverage’ was also produced from the work of the ‘Private Investment’ workstream of this learning exchange.