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The Business Processes of CBHI

In: Health Microinsurance Implementing Universal Health Coverage in the Informal Sector

Author

Listed:
  • Alexander S. Preker
  • David M. Dror

Abstract

Standardizing the business processes of a community-based health insurance (CBHI) enhances the efficiency of the scheme and thus encourages enrollment and future renewals. We discuss the standard CBHI processes for enrollment, claims decisions, claims payment, renewals, participatory note modifications, accounting, and fund management. The business rules define the periphery within which the scheme functions and clearly define the roles of the key actors of the scheme.

Suggested Citation

  • Alexander S. Preker & David M. Dror, 2020. "The Business Processes of CBHI," World Scientific Book Chapters, in: Health Microinsurance Implementing Universal Health Coverage in the Informal Sector, chapter 12, pages 255-278, World Scientific Publishing Co. Pte. Ltd..
    • Handle: RePEc:wsi:wschap:9789811208539_0012
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    More about this item

    Keywords

    Microinsurance; Health Insurance; CBHI; Community-Based Health Insurance; Health Financing; Insurance for Poor; Universal Health Coverage; Rural; Education;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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