Community Based Micro Health Insurance Schemes to Provide Quality Health Care with Equity in Rural India

2018 ◽  
Vol 9 (5) ◽  
pp. 588
Author(s):  
Surekha Tayade ◽  
Jaya Kore ◽  
Noopur Singh
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Rural India ◽  
Community Based ◽  
Quality Health Care ◽  
Micro Health Insurance ◽  
Quality Health

scholarly journals COMMUNITY-BASED HEALTH INSURANCE SCHEME IN A RURAL COMMUNITY OF NORTH WEST NIGERIA: A ROADMAP TO ACHIEVING UNIVERSAL HEALTH COVERAGE.

2020 ◽  
Vol 14 (2) ◽  
pp. 125-130
Author(s):  
Lawal A ◽  
◽  
Gobir AA ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Health Insurance Scheme ◽  
Willingness To Participate ◽  
Insurance Scheme ◽  
Community Based ◽  
Quality Health Care ◽  
Community Based Health Insurance ◽  
Care Services

Background: Community Based Health Insurance (CBHI) scheme is aimed at reducing out of pocket spending on health care services, ensuring final risk protection to all, especially the poor and the most vulnerable, improvement of quality of health care services, access and utilization as well as the promotion of equity. Objective: This research was aimed at determining willingness to participate in a community-based health insurance scheme among rural households in Katsina State. Method: A cross-sectional descriptive study was conducted in December 2016 among households of Batagarawa LGA, Katsina State. We used a pre-tested, electronic, semi-structured interviewer-administered questionnaire to obtain data from households that were selected using a multistage sampling technique and we analyzed the data using STATA version 13. Results: Most, (28.5%) of the respondents were in the age range of 30-39 years with a mean age of 35.5 years. Males were the dominant household heads (93%). Most were married (90%). Most, (90.5%) of households were willing to pay for a community-based health insurance scheme with a median premium of 100 Naira per household member per month. Conclusions: The high proportion of households willing to pay for the scheme should inform the decision of policy makers to design and maintain Community Based Health Insurance Scheme to improve access to and utilization of quality health care services.

Health Care Reform Requires IT Solutions to Influence Consumer Perception at a Health Care Payer

2012 ◽  
Vol 14 (2) ◽  
pp. 18-26 ◽  
Author(s):  
Rahul Bhaskar ◽  
Au Vo
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Insurance ◽  
Managed Care ◽  
Health Care Reform ◽  
Quality Health Care ◽  
Quality Health ◽  
Health Insurance Provider ◽  
Perception Of Quality ◽  
Care Payer

The recent health care reform is one of the biggest changes that the health care industry has ever faced. This reform represents the paradigm changing opportunities and challenges for the company providing health insurance in a managed care environment. The CIO of a premier managed care health insurance provider (“ABC Company”) wants to take advantage of the new environment using Information Technology. He and his management teams have determined, using primary research, that the customer perception of the health care company’s cost and accessibility to the quality health care are the most important factors to their customers in the new market. They are aware that even though they have been able to use information technology to predict customer reaction to the changes in cost, and perception of quality, it will be very difficult to deliver new systems and processes that support ABC Company’s to the new realities it is facing the market.

scholarly journals Mathematical Techniques of Modelling Salary-Based Health Care Contribution

2021 ◽  
Vol 2 (2) ◽  
pp. 97-112
Author(s):  
Ogungbenle Gbenga Michael
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Current Model ◽  
Insurance Coverage ◽  
Care Program ◽  
Good Health ◽  
Health Insurance Coverage ◽  
Quality Health Care ◽  
Quality Health ◽  
Mathematical Techniques

This paper is intended to support reforms counteracting the adverse health insurance contribution trends through constructing an actuarially equitable salary-based health care system for experienced health insurance underwriters. The focus is on contribution technique employed by experts who consult for health insurance funds especially when performing official duties as health insurance actuary. The objective is to construct actuarial models of computing employee’s, employer’s and government’s contribution for health insurance care program in a way that permits generally equitable cost-efficient health insurance coverage within the framework of obtainable health benefits policy. Nigeria’s low economic growth rate and primitive technology resulted in an increasing rate of health care costs and consequently, quality health care at affordable prices is far from the reach of enrollees because of inequitable distribution of costs. In order to solve this problem, we constructed a health care model with a deterministic salary function structure to compute contribution on behalf of enrollees as a paradigm shift to an actuarial system of modelling contribution with a goal to building a sustainable health insurance delivery that encourages good health outcomes. From our results, the rate derived from our current model is far below the official rating of  on employee’s salary which is not footed on actuarial basis and hence cheaper and more equitable to adopt.

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