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. 2021 Jun 29;19(6):811–823. doi: 10.1007/s40258-021-00668-y

Table 1.

Description of perspectives for budget impact analysis (BIA) in India

Routine scenario (multi-payer perspective) UHC scenario (single-payer perspective)
Description Valuation at current existing share of budget holder and OOP expenditure Universal access to services would be guaranteed by the budget holder without any OOP expenditure
Perspective Multi-payer Single payer
Type of payers Public payer, patients, and any other payer Public payer
Type of costs Stratified estimates for health system costs and private costs including OOP expenditure Full cost for delivering healthcare by single payer, without any OOP expenditure
Valuation of health system costs Valuation of resources is at current capacity utilisation Cost will be adjusted for changes in utilisation in the UHC scenario
Valuation of OOP expenditure OOP expenditure will be based on existing situation and prevailing market prices Obtained from NSSO/ or other primary patient survey Resources which incurred OOP expenditure will be valued at prices of centralised public procurement from a single payer’s perspective

NSSO National Sample Survey Organization, OOP Out of pocket, UHC Universal Health Coverage