This document provides an introduction to the development and use of system requirements, that countries can use as a starting point to define, design, and implement information systems to support health insurance programs.
India drew on its participation in the JLN’s Medical Audits Collaborative and adaptation of the Medical Audit Toolkit to implement a medical audit system that could be decentralized and scaled by India’s states to review claims, identify fraud, and ensure the quality of health services being provided to patients.
Nigeria’s implementation of the Strategic Communications Practical Guide and Strategic Communications Planning Tool to address underlying facilitators and barriers to the BHCPF led to the first appropriation for the fund and an increase in interest in BHCPF services. The communication plan is thought to have improved the targeting and perception of the rollout communication processes. […]
Mongolia’s use of the Empanelment Assessment Tool enabled a shift to a person-centered approach for PHC. Linking empanelment to a mobile technology initiative providing team-based PHC home visits has contributed to a national empanelment approach and shifts in health care seeking behavior. This case study profiles the use of the Empanelment Assessment Tool in Mongolia. […]
Making the Case for Health: A Messaging Guide for Domestic Resource Mobilization was created following DRM collaborative member country requests for evidence-based arguments that can support communication across the health and finance sectors to make the case for investment in health. The guide has benefitted from the joint participation of health and finance policy makers in distilling and refining these messages to bridge communications in the most effective way possible.