Ukraine COVID-19 Purchasing
Ukraine provides an illuminating example of a health system that has responded to a health shock in a way that both builds health system resilience and advances health system reforms. When the COVID-19 pandemic broke out in Ukraine in early 2020, a set of major health financing and provider payment reforms were under way. The capacity of the National Health Services of Ukraine (NHSU) and collaboration with the Ministry of Health (MOH) of Ukraine offered considerable flexibility to make quick adjustments in purchasing arrangements toward changing COVID-19 health care needs. The NHSU is entitled to purchase program of medical guarantees (PMG) services through packages defined on an annual basis with regular adjustments to accommodate evolving needs. The ongoing reforms involved a transition from historical line-item budgeting toward output-based purchasing arrangements through which resources were channeled to selected health providers, conditional on confirmed provider capacity and using new payment mechanisms (capitation, global budgets, fees for service, per-case payment, and so on) that incentivize efficiency. It is an opportune time to reflect on how Ukraine’s pandemic response affected the health system reforms and the extent to which adjustments made helped them progress or set them back. The lessons from this experience may be important during the current health sector emergency caused by the Russian invasion in Ukraine, which started on February 24, 2022.
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Format: | Report biblioteca |
Language: | English en_US |
Published: |
Washington, DC: World Bank
2022
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Subjects: | COVID-19 PURCHASING, COVID FINANCING, COVID-RELATED SERVICES, HEALTH REFORM, BENEFITS PACKAGE, UKRAINE, |
Online Access: | http://documents.worldbank.org/curated/en/099740012222229791/P17032100818da0160adc50d218cb0bad86 http://hdl.handle.net/10986/38467 |
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Summary: | Ukraine provides an illuminating
example of a health system that has responded to a health
shock in a way that both builds health system resilience and
advances health system reforms. When the COVID-19 pandemic
broke out in Ukraine in early 2020, a set of major health
financing and provider payment reforms were under way. The
capacity of the National Health Services of Ukraine (NHSU)
and collaboration with the Ministry of Health (MOH) of
Ukraine offered considerable flexibility to make quick
adjustments in purchasing arrangements toward changing
COVID-19 health care needs. The NHSU is entitled to purchase
program of medical guarantees (PMG) services through
packages defined on an annual basis with regular adjustments
to accommodate evolving needs. The ongoing reforms involved
a transition from historical line-item budgeting toward
output-based purchasing arrangements through which resources
were channeled to selected health providers, conditional on
confirmed provider capacity and using new payment mechanisms
(capitation, global budgets, fees for service, per-case
payment, and so on) that incentivize efficiency. It is an
opportune time to reflect on how Ukraine’s pandemic response
affected the health system reforms and the extent to which
adjustments made helped them progress or set them back. The
lessons from this experience may be important during the
current health sector emergency caused by the Russian
invasion in Ukraine, which started on February 24, 2022. |
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