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By World Bank

"A consultant to aggressive Vouchers in well-being offers instruments that could aid make certain the appropriateness of aggressive vouchers to satisfy diversified coverage targets. The publication explains strength benefits and drawbacks of this procedure and discusses how you can bring public healthiness care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in future health is directed to foreign donors and overall healthiness care services and policymakers in constructed and constructing nations.

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Extra resources for A guide to competitive vouchers in health

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A detailed discussion appears in chapter 5. IDENTIFYING THE POTENTIAL ADVANTAGES Voucher schemes are potentially superior to other subsidy delivery strategies because they can more accurately target beneficiaries, stimulate de- Conducting a Feasibility Assessment | 41 mand for underconsumed services, reduce provider-induced demand, increase patient satisfaction, and ration high-cost services. They are also easier to administer than other demand-side subsidies (see chapter 2). In addition to these advantages of voucher schemes, policymakers should also consider the advantages of demand-side subsidies generally, if the alternative to the voucher scheme would be a traditional supply-side subsidy.

A voucher scheme facilitates information exchange between private practitioners and national tuberculosis control programs. CHAPTER 5 DESIGNING A VOUCHER SCHEME A voucher scheme can be described in terms of five key policy areas: • Recipient policies (who is eligible to receive or use the voucher) • Benefit policies (what services can be paid for with the voucher) • Price policies (how much the recipient pays to use the voucher) • Provider policies (which providers can participate in the voucher scheme) • Value policies (how much the provider receives for each voucher).

Lack of a Competitive or Contestable Market for the Services Provided A voucher scheme does not require competition, but competition can greatly help improve patient satisfaction and productivity. A competitive market is one in which goods or services are produced or sold by a number of different providers. Even in markets with many sellers, perfect competition may not exist. Collusion can allow sellers to fix prices. 40 | A Guide to Competitive Vouchers in Health Lack of Institutional Capacity to Perform the Voucher Agency Role The key to a successful voucher scheme depends to a great extent on the abilities and transparency of the voucher agency.

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