This toolkit was created to address gaps in practical knowledge by providing guidance on setting up medical audit units, a step-by-step review of claims to identify providers prone to fraud or poor quality of care, conduct investigations, and use the results of the medical audit.
A digital companion course to the JLN Costing of Health Services for Provider Payment manual.
The Primary Health Care (PHC) Measurement for Improvement Collaborative was launched in partnership with the Primary Health Care Performance Initiative (PHCPI) in April 2016, with the goal of developing practical tools and approaches to improve country-level measurement of PHC performance, address priority measurement gaps, and develop strategies for better utilization of measurement to drive improvements in […]
A carefully developed provider payment system can be a powerful instrument for making progress toward universal health coverage.
What is it? Advice from Implementers to Implementers is a practical manual that contains step-by-step guidance along with real-world examples and case studies to help facilitate public-private sector engagement around primary health care (PHC). The first two modules of the Manual provide practical guidance on Initial Communications and Partnership Around PHC and Provider Mapping. Future […]