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What's In, What's Out

Designing Benefits for Universal Health Coverage

Peter C Smith author Amanda Glassman author Úrsula Giedion author

Format:Paperback

Publisher:Center for Global Development

Published:30th Oct '17

Should be back in stock very soon

What's In, What's Out cover

Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty.

Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly.

What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.

“A wonderful book that breaks down the most complex of challenges into a format accessible to economists, social scientists, and policymakers alike—a must-read for those working to achieve universal health coverage.”- Soumya Swaminathan, Director, Indian Council of Medical Research;

“Resources are always finite—the evidence-based, fair, transparent, and accountable benefits package is the most important tool to justify the use of finite resources to achieve real universal health coverage.”- Suwit Wibulpolprasert, Ministry of Public Health, Thailand;

“This timely publication provides the critical analysis and concrete strategies required by health leaders to design fair and far-reaching health benefit packages that are crucial to achieving universal health coverage and SDG3, and to transforming political promises into people-centered healthcare.”- Felicia Knaul, Director, Institute for Advanced Study of the Americas, University of Miami;

“Universal health coverage globally is an inspiring idea, but it needs to be a practical one too. This book offers invaluable insights from around the world, both into how to design high-quality, equitable, and affordable packages of care, but also, and as importantly, how to implement them.”- Lord Nigel Crisp, former Chief Executive, NHS England;

“This book addresses an important concern: which services can we provide and which can we not, given limited health resources? Because the answer is context dependent, we need principles and methods for deciding what we should and should not cover with public monies.”- Wei Fu, Director General, China National Health Development Research Center;

What's In, What's Out: Designing Benefits for Universal Health Coverage provides accessible and thorough guidance on the main policy issues related to health benefit packages. This book is a must-read for health policymakers and practitioners seeking to develop a roadmap towards universal health coverage while enhancing the health system's efficiency, equity, transparency, and sustainability.”- Midori de Habich, former Minister of Health, Peru;

“One of the big challenges for universal health coverage in Latin America and the Caribbean is the difference between what is being promised and what is actually delivered, what people may expect and what they actually get. Health benefits packages, by making explicit what is implicit, become critically important in this context.”- Adolfo Rubinstein, Founder and Director General, Institute of Clinical Effectiveness and Health Policy (IECS), and Director, Center of Excellence in Cardiovascular Health for South America of IECS;

“Many policymakers emphasize 'who is covered' when they talk about universal health coverage. However, the second dimension, namely 'what is covered,' deserves as much attention, as this book successfully argues. It also gives practical advice on who should be involved, what to consider, and how we can achieve it.”- Reinhard Busse, Professor of Health Care Management, Technische Universität Berlin

ISBN: 9781933286891

Dimensions: unknown

Weight: 1160g

400 pages