Public services play an important role in supporting households' well-being and their members' life chances. This is especially true for low- and middle-income households, for whom the in-kind services received represent a larger share of overall consumption and for whom equivalent private...

Public services play an important role in supporting households' well-being and their residents' life chances. This is especially true for low- and middle-income households, for whom the in-kind services received represent a larger share of overall consumption, and for whom equivalent private...

We assessed whether health spending of local government units in the Philippines is sufficient to deliver mandated primary health care (PHC) services under a devolved system, how PHC spending varies with fiscal capacity, and whether increased intergovernmental transfers following the...

In Switzerland, elective hip and knee replacements account for substantial healthcare expenditures and are central to debates on quality, appropriateness and value-based care. Existing DRG-based payment systems for acute somatic care remunerate volume and case mix, but do not reflect quality of...

Despite the fact that healthcare spending in Kazakhstan increased annually from 2011 to 2020, the country's healthcare system is seriously underfunded. For this reason, household spending in Kazakhstan plays a significant role in overall health spending. According to WHO, if the share of private...

Background Out-of-pocket payment remains one of the ways to finance health care in Ethiopia accounting 31%. These out-of-pocket health expense leads citizens' face catastrophic and impoverishing expenditure. The most recent survey-based study of catastrophic and impoverishing health expenditure...

Background Universal Health Coverage (UHC) is a central component of the Sustainable Development Goals, and integrated healthcare is recognized as a key pathway to achieving UHC. China's healthcare reform, aimed at real- izing the "Healthy China 2035" goal, faces challenges in ensuring the...

The Colombian Ministry of Health's decision to increase the health insurance premium (Capitation Payment Unit) by 5.36% for 2025, close to the inflation rate, has sparked controversy. This adjustment disregards factors that contribute to rising healthcare costs, leading to concerns over the...

This report explores the potential of maturing technologies to address specific health financing challenges in East and Southern Africa. To the extent possible, it draws on examples from countries in the region and shows how some technologies have been used in other sectors that could inform...

The Health Facilities Enhancement Program (HFEP) is a capital investment grant administered by the Department of Health (DOH), designed to help local government units (LGUs) augment their health infrastructure, such as primary healthcare facilities, hospitals, and equipment. Over the past...

Accelerated progress towards and achievement of universal health coverage (UHC) has become a central goal of the Government of Pakistan's (GoP) policy agenda in health in recent years. Both at the center and in the provinces, Pakistan's domestic governments have now consistently reiterated,...

In the official models for projections and policy analysis used by the Treasury and the Social Security and Medicare Trustees, many key variables are assumed as a continuation of past trends. Even the Congressional Budget Office (CBO), with more sophisticated models, makes certain simplifying...

The EU is challenged by a persistent leadership gap in the global health innovation landscape, with the US leading in corporate health innovation and venture capital (VC) funding. The EU health innovation landscape is more concentrated in older "incumbent leading firms," while the US has a more...

In the Philippines, household out-of-pocket or direct payment made by patients, has persistently accounted for nearly half of the country's health spending, which suggests financial burden experienced by Filipinos in accessing care. Since 2013, PhilHealth has paid accredited public and private...

In the 2000s, the Government of the People's Republic of China extended basic health insurance to most of the population. In the 2010s, it introduced a catastrophic medical insurance (CMI) program to further improve urban and rural residents' protection against financial shocks due to inpatient...

Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed...

The analysis of household health financing vulnerability and its impact on health service utilization during the COVID-19 pandemic remains inadequately explored in Kenya. This study was designed to examine the impact of health financing vulnerability on health services utilization during the...

This study analyses the conditions under which co-opetition improves the supply of healthcare services in Benin. Using non-centralised administrative data from a sample of public and private health centres, we apply network theory and negative binomial regression to assess the extent to which...

In this report, we characterize the government health expenditures, examine the fragmented and overlapping nature of different financing streams, and propose a framework to address these challenges. In the past decade, the Philippines has experienced unprecedented growth in government health...

Die Struktur der Notfallversorgung in Deutschland muss grundlegend verbessert werden, darüber besteht weitgehend Einigkeit. Seit spätestens 2018 und dem Gutachten des SVR Gesundheit wird intensiv ein in den Grundzügen unveränderter Reformvorschlag diskutiert. Über das Stadium eines...

In this paper, we utilize the 2019/20 Uganda National Household Survey data to answer three related questions: (i) To what extent did out-of-pocket payments (OOPs) for health care services exceed the threshold for household financial catastrophe amidst COVID-19? (ii) What is the impoverishing...

The Eastern Tropical Pacific Marine Conservation Corridor (CMAR) spans 500,000 square kilometers and was established in 2004 by Ecuador, Costa Rica, Colombia, and Panama to promote the conservation and sustainable use of coastal and marine resources. The corridor includes four UNESCO World...

Green finance influences both health expenditures and environmental quality. Focussing on SDGs 3, 7, and 8, this study investigates the nexus between ecological footprint, green finance, health expenditures, renewable energy consumption, and economic growth using data from 2000 Q1-2020 Q4....

Innovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a...

Die Sozialabgaben in Deutschland haben mit 42 % die einst als unüberschreitbar geltende "Haltelinie" von 40 % bereits deutlich überschritten. Besonders dramatisch entwickeln sich die Zusatzbeiträge der gesetzlichen Krankenversicherung (GKV): von 1,7 % im Jahr 2024 auf aktuell 2,9 % im zweiten...

Health status can alter individuals’ social preferences, and specifically individuals' preferences regarding fairness in the access to and financing of health care. If individuals follow a healthy self-interested rationale, health improvements are expected to weaken individuals' support for...

Lower middle-income country governments spend only $56 per capita on health while low-income country governments spend less than $10 per capita. However, budgetary space to increase these allocations is severely constrained by stagnant or low economic growth, limited capacity to mobilise...

Investing in health is one of the most powerful drivers of human capital formation, economic growth, and job creation. However, low- and lower-middle-income countries are at a crossroads with growing economic uncertainty and sharp cuts to external aid. This report-part of an annual...

Health status can alter individuals' social preferences, and specifically individuals' preferences regarding fairness in the access to and financing of health care. We draw on a dataset of 73,452 individuals across 22 countries and a novel instrumental variable strategy that exploits variation...

Background The health of migrants and refugees is a key component in achieving Universal Health Coverage (UHC). This paper aims to assess the scale of financing mobilized by the Moroccan government for migrants and refugees health, and addressing health issues related to these populations within...

Background The Statutory Health Insurance scheme is one of two main schemes of health care system financing in Europe. This scheme mainly relies on wage-based contributions from employers and employees and is thus prone to business cycle fluctuations. This turned out to be a problem especially...