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

Author

Listed:
  • 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

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.

Suggested Citation

  • 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-Sel, 2017. "Using Data Analytics to Monitor Health Provider Payment Systems: A Toolkit for Countries Working Toward Universal Health Coverage," EconStor Books, ZBW - Leibniz Information Centre for Economics, number 222528.
  • Handle: RePEc:zbw:esmono:222528
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    File URL: https://www.econstor.eu/bitstream/10419/222528/1/01_Data%20Analytics%20and%20PPM%20Toolkit.pdf
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    Citations

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    Cited by:

    1. Narges Rafiei & Soudabeh Vatankhah & Mohammad Javad Kabir, 2022. "Primary care physician payment mechanisms toward universal health coverage: A study of Iran and selected countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 372-386, January.

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