Results-Based Financing for Health in Argentina

The plan nacer program was designed by the Argentine ministry of health to provide health coverage to uninsured women during their pregnancies and for an additional 45 days after giving birth, as well as to children under the age of six. In doing so, it focuses on the most vulnerable populations, addressing a basic inequity in health care. In addition, the program includes three main distinctive features: an explicit menu of health benefits, disbursements linked to achieving agreed-upon targets of enrollment and health results, and audits conducted by an independent external firm to corroborate service delivery and quality. The plan is an innovative way to strengthen health systems. Rather than simply funding more facilities and inputs or adjusting existing insurance mechanisms neither of which have been successful in dealing with the health problems of the poor, the Argentine ministry of health realized that improvements to quality and coverage of health services for the uninsured would require drastic operational changes. To do so, it decided to introduce performance incentives at all levels and to focus on results.

Bibliographic Details

Main Authors:	Cortez, Rafael, Vanina Camporeale, Daniel Romero, Perez, Luis
Format:	Working Paper biblioteca
Language:	English en_US
Published:	World Bank, Washington, DC 2012-07
Subjects:	ACCESS TO EMPLOYMENT, ACCESS TO HEALTH CARE, ACCESS TO HEALTH CARE SERVICES, ACCESS TO SERVICES, ADOLESCENTS, BABY, BASIC HEALTH CARE, BASIC HEALTH SERVICES, BUDGETARY RESOURCES, CANCER, CAPACITY BUILDING, CAPITATION, CAPITATION PAYMENT, CAPITATION PAYMENTS, CAUSES OF DEATH, CHILD CARE, CHILD DEVELOPMENT, CHILD HEALTH, CHILD MORTALITY, CHILD MORTALITY RATE, CHILDBEARING, CHILDBIRTH, CHRONIC CONDITIONS, CITIZENS, CLINICS, COST OF CARE, COST OF HEALTH CARE, CULTURAL PRACTICES, DEATHS, DEMAND FOR HEALTH, DEMAND FOR HEALTH SERVICES, DENTAL HEALTH, DENTAL PROBLEMS, DISSEMINATION, ECONOMIC EFFICIENCY, ECONOMIES OF SCALE, EMPLOYMENT, EQUILIBRIUM, EXPENDITURES, EXTENDED SERVICES, FAMILIES, FEE-FOR-SERVICE, FINANCIAL INCENTIVES, FINANCIAL PENALTIES, FINANCIAL RESOURCES, FRACTURES, HEALTH BUDGETS, HEALTH CARE, HEALTH CARE CENTERS, HEALTH CARE COSTS, HEALTH CARE DELIVERY, HEALTH CARE FACILITIES, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE SERVICE DELIVERY, HEALTH CARE SERVICES, HEALTH CARE STANDARDS, HEALTH CARE SYSTEM, HEALTH CARE WORKERS, HEALTH CENTERS, HEALTH CONDITIONS, HEALTH COVERAGE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH INFORMATION, HEALTH INSURANCE PROGRAM, HEALTH MANAGEMENT, HEALTH MINISTRIES, HEALTH NEEDS, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH POLICY, HEALTH POSTS, HEALTH PROBLEMS, HEALTH PROFESSIONALS, HEALTH PROGRAMS, HEALTH PROVIDERS, HEALTH RESULTS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SPENDING, HEALTH STATUS, HEALTH STRATEGIES, HEALTH SYSTEMS, HEALTH TARGETS, HEALTH-SECTOR, HEPATITIS B, HIGH-RISK PREGNANCIES, HIV, HIV INFECTION, HIV INFECTIONS, HOME ACCIDENTS, HOSPITAL, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, HYPERTENSION, IMMUNIZATION, INCOME, INCOME COUNTRIES, INCUBATORS, INDIGENOUS PEOPLE, INDIGENOUS POPULATIONS, INDIVIDUAL HEALTH, INEQUITIES, INEQUITY IN HEALTH, INFANT, INFANT DEATH, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFANTS, INFORMAL SECTOR, INFORMATION SYSTEMS, INSTITUTIONAL CAPACITY, INSURANCE, INSURANCE FUNDS, INSURANCE PLAN, INSURANCE PREMIUM, INSURANCE SCHEMES, INSURERS, LARGE POPULATION, LAWS, LIVE BIRTHS, LOW BIRTH WEIGHT, MANAGEMENT SYSTEMS, MATERNAL DEATH, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH CARE, MATERNAL MORBIDITY, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MEASLES, MEDICAL SUPPLIES, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, MOTHER, NATIONAL AUTHORITIES, NATIONAL GOVERNMENT, NATIONAL HEALTH, NATIONAL LEVEL, NATIONAL POLICIES, NEONATAL MORTALITY, NEWBORN, NEWBORNS, NURSE, NUTRITION, PATIENTS, POLICY DIALOGUE, POOR FAMILIES, POOR HEALTH, POPULATION GROUPS, PREGNANCIES, PREGNANCY, PREGNANT WOMAN, PREGNANT WOMEN, PRENATAL CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRIVATE INSURANCE, PROBABILITY, PROGRESS, PROVISION OF CARE, PROVISION OF HEALTH SERVICES, PUBLIC AWARENESS, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH INSURANCE, PUBLIC HEALTH SERVICES, PUBLIC HEALTH WORKERS, PUBLIC POLICIES, PUBLIC PROVIDERS, PUBLIC SECTOR, PUBLIC SERVICES, QUALITY CARE, QUALITY CONTROL, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, QUALITY OF SERVICES, RADIO, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH PROGRAM, RESOURCE ALLOCATION, RESOURCE USE, RESPECT, RUBELLA, RURAL AREAS, SCREENING, SERVICE PROVIDERS, SEXUALLY TRANSMITTED DISEASES, SOCIAL CONDITIONS, SOCIAL INSURANCE, SOCIAL SECURITY, SOCIAL SERVICES, STDS, SYPHILIS, TECHNICAL ASSISTANCE, TELEVISION, TETANUS, TRADITIONAL HEALTH CARE, TRADITIONAL PRACTICES, TRANSPORTATION, UNIVERSAL RIGHT, USE OF RESOURCES, VACCINATION, VACCINATIONS, VULNERABLE GROUPS, VULNERABLE POPULATIONS, WOMAN, WOMEN OF CHILDBEARING AGE, WORKERS, YOUNG CHILDREN,
Online Access:	http://documents.worldbank.org/curated/en/341291468218379309/Argentina-Results-based-financing-for-health-plan-nacer-program https://hdl.handle.net/10986/27223
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