Health Care Leader Perspectives on State Government–Sponsored Accountable Care for Public Employees

2020 ◽  
Vol 8 (3) ◽  
pp. 4-11
Keyword(s):  
Health Care ◽  
State Government ◽  
Public Employees ◽  
Accountable Care ◽  
Leader Perspectives ◽  
Health Care Leader

scholarly journals State led innovations for achieving universal health coverage in a low resource setting Odisha, India: opportunities and challenges

2021 ◽  
Vol 8 (5) ◽  
pp. 2338
Author(s):  
Sarit K. Rout ◽  
Upasona Ghosh ◽  
Amrita Parhi ◽  
Sudhashree Chandrashekhar ◽  
Shridhar M. Kadam
Keyword(s):  
Health Care ◽  
State Government ◽  
Universal Health Coverage ◽  
Qualitative Interviews ◽  
Health Care Utilisation ◽  
Public Health Care ◽  
Health Coverage ◽  
Resource Setting ◽  
Free Health Care ◽  
Universal Health

Background: Odisha, a developing state of India, has introduced an innovative scheme known as Biju Swasthya Kalyan Yojana (BSKY), which aims at providing free health care to all the people. This paper examines the scope, key features, challenges and potentiality of BSKY to achieve universal health coverage (UHC) in Odisha.Methods: We reviewed policy documents and conducted qualitative interviews with key state government officials and other stakeholders to understand implement processes and constraints.Results: The scheme intends to provide free health care to all people in public health care institutions and additionally, 71 lakh poor households can avail health care services from the empanelled private hospitals with financial coverage up to 5 lakhs per family and women members up to 10 lakhs annually. This is implemented in assurance mode by merging state-run schemes- Rashtriya Swasthya Bima Yojana (RSBY), Biju Krushak Kalyan Yojana (BKKY) and Odisha State treatment fund (OSTF). The implementing agency is introducing several measures to control unnecessary health care utilisation and cost. Gate keeping mechanism and reserved packages by public hospital are major initiatives in this direction. Further, efforts to settle claims on time and IT related challenges are teething problems of the scheme. The findings further suggest that public expenditure on health stands at 1.3% of GSDP and inadequate human resources and health infrastructure are affecting service delivery.Conclusions: Achieving UHC with such a low public spending on health and different service delivery constraints looks ambitious. Odisha may learn from other countries to implement UHC phase wise.

Oncology Payment Reform to Achieve Real Health Care Reform

2015 ◽  
Vol 11 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Mark B. McClellan ◽  
Andrea I. Thoumi
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Policy Recommendations ◽  
Accountable Care ◽  
Payment Systems ◽  
Payment Reform

The authors describe features of quality and cost measures needed to support accountable care payment reforms in oncology and propose policy recommendations to move to payment systems that support higher-value care in oncology.

Understanding Decisions in State Pension Systems: A System Framework

2016 ◽  
Vol 48 (3) ◽  
pp. 260-273 ◽  
Author(s):  
Gang Chen
Keyword(s):  
State Government ◽  
State Governments ◽  
Public Employees ◽  
System Framework ◽  
Retirement Benefits ◽  
Policy Makers ◽  
Pension Systems ◽  
Financial Conditions ◽  
Public Sector Unions ◽  
State Pension

State governments establish pension systems to provide retirement benefits to public employees. State governments as sponsors, state legislatures as policy makers, and public-sector unions as representatives of public employees may exert considerable influence over the decisions made in pension systems. This study applies a system framework to examine these influences. It focuses on four decisions in pension systems: benefits, employer contributions, employee contributions, and the asset smoothing period. The findings show that changes in the short- and long-term financial conditions of a state government have different influences on pension decisions, and that legislatures and public employee unions play important roles that affect these decisions.

scholarly journals Addressing the challenges that affect COVID-19 prevention in the rural areas of Abia State, Nigeria

2020 ◽  
Vol 7 (10) ◽  
pp. 3824
Author(s):  
E. E. Enwereji ◽  
M. C. Ezeama
Keyword(s):  
Health Care ◽  
State Government ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Cdc Guidelines ◽  
Working Together ◽  
Community Transmission ◽  
Public Behavior ◽  
Social Amenities ◽  
Infection Study

Background: Using directives have been the standard approach of changing public behavior. But studies have shown that directives fail because people hate being told what to do. Telling individuals to use limited resources and other social amenities in rural areas to prevent coronavirus disease 2019 (COVID-19) infection may lead to skepticism in practice of public health recommendations on COVID-19 prevention. Even non-availability of basic hand washing facilities (soap and clean water) which form fundamental mechanism to prevent COVID-19 can expose people to infection. Study assesses factors and conditions that influence the practice of Center for disease control (CDC) preventive measures against COVID-19 in rural areas.Methods: This is a qualitative study that utilized information from 36 health care professionals under the aegis of committee for COVID-19 prevention. These committee members are working together in partnership with state government to provide services to control, prevent and cushion effects of COVID-19 pandemic.Results: Findings from 36 health care professionals made up of 10 (27.8%) females and 26 (72.2%) males showed that factors such as denial of existence of the virus, labeling virus as only urban limited, poor knowledge of mode of transmission, terming virus as ploy politicians use to siphon resources meant for rural development contributed to non-observation of CDC guidelines for COVID-19 prevention.Conclusions: Denying existence of COVID-19 and not observing CDC guidelines will increase community transmission thereby, expose people in communities to infection. Therefore, education is needed to enlighten people in communities on benefits of observing CDC guidelines.

Sign in / Sign up

Export Citation Format

Share Document