Our Collectivity working group has been working together to reflect on the opportunities offered by digital solutions for making strategic purchasing for healthcare more efficient, and scalable across different use cases. On April 6, we shared some of these findings during a webinar on “Strategic verification for strategic purchasing”, which was held in French language and where experiences from Mali & Senegal were presented. In the second webinar of this ongoing series, practitioners from Cameroon and Nigeria will be sharing the specific solutions and challenges in their countries, this time in English.
By Mireille Ntchagang and Ridhima Sodhi
This webinar will take place on the 24th of May, 2022, 4pm-5.30pm CET (2pm-3.30 UTC). It targets both specialist practitioners of Performance-Based Financing and those active in Health Insurance in sub-Saharan Africa.
Any health financing system using activity-based payment on the basis of health facility claims de facto creates an incentive for an exaggeration of delivered services or an over-coding of services (e.g. reporting a simple delivery as a C-section, if the latter is reimbursed with a higher fee). So, the solution is to invest into different forms of verification. Expectation is that verification will discourage, detect and reduce Fraud, Waste, and Abuse (FWA).
In our countries, investing in verification has increased over the last decade following the development of Health Insurance systems and Performance-Based Financing. There is some consensus that verification is often a too heavy burden and costly to implement. It consumes resources which should ideally go to expanding the benefit package offered to health service users. It is therefore important to think about optimization of verification, not only at the level of a particular scheme, but more generally for the whole financing system. Aren’t there synergies to be seized between financing mechanisms? Couldn’t we also make better use of the different ways of verification both when collecting data and when aggregating or analyzing them?
The challenge is to know how verification mechanisms are and could be effectively implemented in different countries to improve strategic purchasing for universal health coverage.
Join us on Tuesday 24 May 2022 to discuss and reflect on how verification experiences from different African countries implementing Performance-Based Financing or Health Insurance systems contribute negatively or positively to the process of strategic purchasing of health services! The webinar format will be participatory.
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