Healthcare Financing Option Study by NUS.pdf

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spouse at no extra charge Telephone Mini fridge Personal safe Television set Daily newspaper Class B1 Air-conditioned Four-bedded room with attached bathroom Furnished with bed-side cabinet, telephone and television set Class B2 / C Naturally ventilated Six-bedded ward with common bathrooms Bed-side cabinet Public telephones at entrance to the ward
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Hospital Admissions by Ward Class 0 20 40 60 80 100 120 1980 1985 1992 1995 1996 Year Percentage Private A B1 B2 C
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Demand-side (Patient) Cost-sharing Cost-sharing Medishield Medishield Medifund Medifund Medisave Medisave Supply-side (Provider) Case-mix Case-mix Case-mix funding Case-mix funding Problems Problems Solutions Solutions Singapore’s Health Care Reforms Competition Competition Price Quality Price Quality Moral Hazard Allocative Efficiency Technical Efficiency
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Innovative Features of Health Care Financing System Public- Private Mix with Optimal Balance Choice of private and public systems Competition and integration between public, private and voluntary sectors Balanced mix of financing methods Co-payment at the point of consumption Public benchmarks for standards and prices Targeted subsidies to address inequity Selective cost-sharing and risk-pooling
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Conclusion Singapore’s health system ranked extremely high Reputation for high quality, choice and efficiency Targeted cost-sharing and risk-pooling in financing Balance between healthcare as a growth industry and serving local needs, while containing costs Sustainability and quality maintained by appropriate public-private mix in provision, financing, regulation and public education
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