An unexpected health problem, such as severe malaria or a complicated delivery, can push a family into poverty or prevent them from seeking needed care. There are many ways, however, to protect households from the financial risk of illness – such as risk pooling insurance and prepayment schemes, targeted subsidies, or adequate financing of free priority services. But the mechanisms must be designed and implemented properly.
Since 1985, Abt Associates has designed, enhanced, implemented, and evaluated a broad spectrum of health care financing reforms. We develop solutions in both the public and private health care arenas, enabling countries to improve health sector efficiency, provider performance, service quality, and access for poor and disadvantaged populations.
Our key strategies include reforms to better regulate the operation of private and public health services, improving payment mechanisms, paying for results, and introducing social and community-based health insurance. Our approach to health financing simultaneously emphasizes companion efforts such as financial risk-sharing mechanisms and fee waiver, exemption, and voucher systems. These reduce financial barriers to services.
Abt’s team has developed state-of-the art tools and strategies, such as health resources planning, expenditure tracking, how-to manuals on provider payment systems and health insurance, and value-for-money strategies to improve results for the investments – all of which are based on international best practices and successful application in numerous countries.