SUMMARY

Single payer meets managed competition: The case for public funding and private delivery



Single payer meets managed competition: The case for public funding and private delivery

Summary of the Article

Single-payer system - the consolidation of financial resources for health from the basic public health insurance and mandatory health insurance for the subsequent single channel of financing for payments for health and pharmaceutical services rendered to the public health organizations. Functioning single-payer system provides a definition of the single funding body health with the transfer of its powers by means of basic management of state health insurance and health insurance. Single payer obliged to:

Ensure efficient and proper use of basic public health insurance and mandatory health insurance;

Report to the Ministry of Finance, local, state administrations and local authorities, the Supervisory Board on Health Care Reform and compulsory health insurance on the use of basic public health insurance and health financing;

To make timely payments to suppliers for the execution of the program of state guarantees and other sectoral development programs in the amount of incoming funds from the republican and local budgets and mandatory medical insurance;

Time to consider claims brought by the Supplier.

Purpose

The purpose of introducing the single-payer system is the consolidation of the health budget to resourcing the enforcement program of state guarantees and improving the methods of financing health care.

Scope

Equal access for citizens to obtain health care program for state guarantees;

Equal access for suppliers to finance the health care industry;

Major points

The contractual relationship between the bodies acting as Single Payer and Provider;

Gradual alignment of the funding of health regions of the country;

The use of the Supplier in implementing the program of state guarantees on common methods of forming tariffs (prices) for the services provided;

Supplier's economic, autonomy in the use of basic public health insurance, compulsory health insurance and co-payments.

Means of basic public health insurance, compulsory health insurance co-payment of the population and special funds received by the Supplier according to the calculations in the single-payer system is not subject to taxation and withdrawal of the state budget.

Data that will enhance the readers' understanding of the content

The state agency authorized to make from the basic public health insurance and mandatory health insurance financing of health care provided by the supplier in the single-payer system, acquires the status of Single Payer (Hadley, 2004).

Major findings

Single payer is the authorized state body in the field of compulsory health ...