Showing items related by title, author, creator and subject.

• Colombia Case Study : The Subsidized Regime of Colombia’s National Health Insurance System

  Montenegro Torres, Fernando; Bernal Acevedo, Oscar (World Bank, Washington, DC, 2013-05-02)

  This case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from academia and the public and private sectors. The report is divided into four sections: (1) country context and health outcomes; (2) the SR within the institutional architecture of the national health insurance system; (3) the subsidized regime: considerations on equity in the context of the public debate on the right to health care in Colombia; and (4) policy decisions and key areas of the agenda for the short and medium term.
• Republic of Uruguay Integrated National Health System : Analysis of the Governability of the SNIS Benefit Plan

  World Bank (Washington, DC, 2014-02-03)

  Today the health reform in Uruguay is a mature, ongoing process in which major progress has been consolidated. At the same time, like all systems, it faces challenges in the immediate, medium, and long term, and how they are resolved will not only shape the ultimate outcome of many of the processes currently under way, and but will also impact the sustainability of the accomplishments so far. The purpose of this study is to contribute to development of the integrated national health system (SNIS) by analyzing and identifying policy options aimed at improving its governance, equity, efficiency, and sustainability through the government's use of control variables in order to achieve and maintain conditions of governability and efficiency, which will contribute to the stability and sustainability of the results. The present study analyzes the main variables that Uruguay has at its disposal to manage a central aspect of regulating the sector namely, the plan of benefits that the population receives to cover their health needs. This plan has important consequences for both health and the economy. The specific objectives of the study were to analyze the following three aspects of the SNIS: (i) the conditions of governance and governability of its benefit plan, (ii) methodological aspects of determining the premium to be received by insurers, and (iii) the capacity of the management information systems that are being used to monitor and evaluate the benefit plan. The document has three sections: (i) background; (ii) health coverage: critical aspects that affect its governability, specifically: (a) the benefit plan and the conditions of its governance, (b) the methodologies used to determine the premium, and (c) the health information systems used to monitor and evaluate the benefit plan; and (iii) conclusions and policy options. Finally, there are seven annexes that provide details on the topics discussed.
• Realizing Rights Through Social Guarantees : An Analysis of New Approaches to Social Policy in Latin America and South Africa

  World Bank (Washington, DC, 2008-02)

  This paper examines the experiences in four Latin American countries and South Africa in the application of a human rights approach to social policy. The paper applies an analysis based on a social guarantees framework -- an innovative approach to integrate a rights-based perspective into social policy. The social guarantees approach moves beyond a purely normative framework to give concrete meaning to economic, social, and cultural rights and hence to allow for their operationalization into policies and programs. This document suggests that a social guarantee approach can be used to strengthen the delivery and monitoring of social programs. Firstly, it implies an institutional design that emphasizes synergy and coordination among agencies and providers to help social programs achieve their full potential. Secondly, this approach contributes to reducing gaps in opportunity among citizens by promoting universal access to, and a basic quality standard for, essential services. Thirdly, the social guarantee approach contributes to strengthening democratic governance, as it requires the achievement of a non-discriminatory agreement among all members of society as to the level of basic entitlements of each individual or collective. In other words, social guarantees are safeguards that society provides to all its members, ensuring their access to essential opportunities and well-being.