Using Data Analytics to Monitor Health Provider Payment Systems: A Toolkit for Countries Working Toward Universal Health Coverage

Adomako-Boateng, Fred; Agada-Amade, Yakubu; Alcantara, Arturo Clemente; Althauser, Caren; Barasa, Edwine W.; Cashin, Cheryl; Manatad de Claro, Vergil; Abrenica Diaz, Gilda Salvacion; Dsane-Selby, Lydia; Effah, Stanley Wilson; Ehsan, Fauziah Zainal; Bin Kamarudin, Mohd Fozl; Gakombe, Kanyenje Karangaita; Githinjl, Joseph; Lifclu, Maria; Luong, To Hong; Ly, Ousmane; Madeiros, Donna; Mohammed, Balarabe; Nair, Arun B.; Nelson, Edward Peregrino; Orbih, Donald; Phuong, Nguyen Khanh; Ogink, Alice; Taylor, Chelsea; Tsilaajav, Tsolmongerel; Viet, Nguyen Tuan; Bin Abd Wahab, Muhammed Anis; Waiganjo, John

Using Data Analytics to Monitor Health Provider Payment Systems: A Toolkit for Countries Working Toward Universal Health Coverage

Fred Adomako-Boateng, Yakubu Agada-Amade, Arturo Clemente Alcantara, Caren Althauser, Edwine W. Barasa, Cheryl Cashin, Vergil Manatad de Claro, Gilda Salvacion Abrenica Diaz, Lydia Dsane-Selby, Stanley Wilson Effah, Fauziah Zainal Ehsan, Mohd Fozl Bin Kamarudin, Kanyenje Karangaita Gakombe, Joseph Githinjl, Maria Lifclu, To Hong Luong, Ousmane Ly, Donna Madeiros, Balarabe Mohammed, Arun B. Nair, Edward Peregrino Nelson, Donald Orbih, Nguyen Khanh Phuong, Alice Ogink, Chelsea Taylor, Tsolmongerel Tsilaajav, Nguyen Tuan Viet, Muhammed Anis Bin Abd Wahab and John Waiganjo

in EconStor Books from ZBW - Leibniz Information Centre for Economics

Abstract: This toolkit seeks to address the gap in data utilization by providing guidance and tools based on practical experience to help countries implement provider payment monitoring systems that use claims and/or other routine administrative data. Such a monitoring system can: 1) generate indicators and analytic reports to monitor whether provider payment systems are achieving service delivery and other objectives or leading to unintended consequences, 2) point to particular services, providers, or other areas that warrant deeper analysis, 3) alert purchasers if modifications to the payment systems design and implementation may be needed, and 4) support ongoing dialogue among purchasers, providers, and other stakeholders that can lead to better health service delivery and help refine provider payment systems.

Keywords: provider payment; data analytics; universal health coverage (search for similar items in EconPapers)
Date: 2017
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https://www.econstor.eu/bitstream/10419/222528/1/0 ... %20PPM%20Toolkit.pdf (application/pdf)

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Persistent link: https://EconPapers.repec.org/RePEc:zbw:esmono:222528

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