Table 2. Conceptual framework for country-level analysis of HF schemes.
Revenue raising arrangements for UHC—Sources of funds, contribution methods, and mechanisms for their collection | |
Source of revenue | Direct tax revenue (e.g. income tax, payroll tax, corporate income / profit taxes, mandatory social health insurance contributions) |
Indirect tax revenues (e.g. VAT, sales taxes, excise taxes, import duties) | |
Other government revenue (e.g. natural resource revenues) | |
Financing from external sources | |
Other compulsory contributions | |
Voluntary prepaid contributions | |
Pooling arrangements for UHC—Accumulation of prepaid funds on behalf of a population | |
Type of pool | Degree of fragmentation (e.g. single, multiple), size and composition of pools (e.g. population groups covered), level of cross-subsidization |
Purchasing arrangements for UHC—Transfer of funds to the provider on behalf of a population | |
Provider payment method | Allocation of resources to providers (e.g. using capitation, fee-for-service, DRG, salary, global budget) and degree of strategic purchasing |
Health benefit package design and rationing | Health service entitlements and obligations of the population as well as differences across pools |
Degree of cost-sharing and mechanisms (e.g. user fees, copayment and deductible rates, referral requirements) |
Abbreviations: DRG = diagnosis-related group; HF scheme = health financing scheme; UHC = universal health coverage.