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The Path Ahead: Transformative Ideas for India The Path Ahead: Transformative Ideas for India by Amitabh Kant
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“Taiwan30 has used its National Health Insurance powerful IT to provide near real-time information on expenditures and utilization to prevent unnecessary expenditure. There is also a panel review system of medical records to keep healthcare costs down, whilst maintaining the quality of healthcare.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“population awareness and behavioural nudges to mitigate the distorted preferences.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“to incentivize and support the creation of such centres by the private sector, in addition to those being built by the public sector.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“The country needs over 300,000 health-and-wellness-centres to provide comprehensive primary care of the type described earlier.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“China followed this approach by enrolling all population into a thin catastrophic coverage and then expanding the benefits to an outpatient package as more money became available.25”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“Adding a highly targeted risk-based primary care23 benefits package becomes possible on top of even a thinly financed Universal Health Insurance and Employee State Insurance Schemes, if there are strong electronic health records and analytics deployed on top of them.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“Low-cost, high-frequency expenditures are those that need to be undertaken for common illnesses that occur periodically or those for the prevention and early treatment of conditions such as chronic kidney disease, cervical cancer, pre-eclampsia, suicide mortality and damage due to glaucoma. These represent small expenditures that are affordable to most people but are often not incurred by individuals either because of the twin phenomena of distorted perception and behaviour, and a gap in understanding about what they need, or because of gaps in health services delivery or access to basic financial services.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“Due to the phenomena of distorted perception and behaviours; and gap in understanding that are common to all human beings, not many systems have been able to get a sufficiently large number of people to purchase health insurance voluntarily. India has a small but growing voluntary insurance market.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“Most countries with dominant social health insurance have expanded it through the formal sector by mandated employer and employee contribution.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“While it is important to reduce out-of-pocket health spending and increase pooling, it is also important to use the pooled funds effectively.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India
“Pooling can be accomplished either by the government exercising some form of mandate such as income tax and compulsory health-related contributions, or by allowing people to voluntarily purchase some form of insurance.”
Amitabh Kant, The Path Ahead: Transformative Ideas for India