Malaysia’s use of the Toolkit to Develop and Strengthen Medical Audit Systems shaped the operations for a new Medical Audit Section responsible for auditing PeKa B40 claims. The SOPs for the unit support identifying and deterring fraud and review of provider perfomance resulting in improved quality of health care screenings. This case study profiles the […]
A four-part podcast series that introduces listeners to the insights and experiences of global experts who are leading provider payment systems reform around the world.
This overview introduces what empanelment is, how to do it effectively, and why it delivers benefits to countries on the road to universal health coverage.
Designing Health Benefits Policies: A Country Assessment Guide: This jointly produced and piloted assessment guide, developed by the six countries listed above, guides countries in prioritizing and thinking through the complex web of decisions that must be considered when developing, implementing or reforming a benefits package within a comprehensive health benefits policy.
The Measuring the Performance of Primary Health Care toolkit serves as a practical guide to address common measurement challenges faced by countries, to support their collection of more useful data on PHC system performance and effectively use this data to improve performance.