Pilot Testing Prepayment for Health Services in Rwanda: Results and Recommendations for Policy Directions and Implementation. Technical Report No. 66

摘要

This report draws first-year results of the Rwanda prepayment pilot test from different analyses conducted and compares these prepayment accomplishments with the Ministry of Health's objectives. Findings show that prepayment plans are a viable method to improve both providers productivity and sustainability in health care financing, while providing better access to care for the poor. In addition to the incentives that have been set by the financing reform to providers, consumers, and insurers, prepayments enhanced community participation has increased the population's awareness and understanding of issues related to health care financing and service delivery. Health insurance schemes with large membership pools have become important interest groups, requiring better value for the money paid to the health facilities, and have contributed to adding health and health financing to the political agenda of the districts.