Central features of all approaches to financing healthcare

how can this happen in low income countries if you

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Unformatted text preview: et people who would give them the most money. The failure of health insurance markets: adverse selection: More current or potential health problems; greater propensity to demand health insurance Those that demand health insurance are the seek and those that don’t are the healthy Market failure, health insurance markets: cream- skimming: Risk selection: insurers manage to pick, or select, the “best risks”, i.e., the young and healthy men. They tend to exclude the sick, and needy Provider payment mechanisms: Methods that establish how much, when, under what conditions providers are paid for delivering care: How much = unit of payment (per case, per visit, per service, etc) When = Timing (prospective, retrospective) Conditions = performance criteria...
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