Health Financing




Sanigest provides expert technical and administrative analysis for the development and implementation of national health systems



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Healthcare financing plays a critical role in improving health services in developing countries. Health financing interventions can help to increase cost efficiency, optimize operations, and expand access to quality care. For more than 10 years, Sanigest has worked to design, enhance, implement, and evaluate a broad spectrum of healthcare financing reforms around the world. Sanigest develops solutions in both the public and private healthcare arenas — enabling countries to improve health sector efficiency, provider performance, service quality, and access for poor and disadvantaged populations. Sanigest provides technical assistance and training for a range of health finance issues that include:

  • Resource mobilization and allocation
  • Social and community-based health insurance
  • Block grants
  • Managed care reimbursement

Sanigest’s capabilities in this area include:

  • National Health Accounts
  • DRGs
  • Payment mechanisms
  • Performance-based contracting
  • Management information systems
  • Regulatory reforms
  • Enhanced private sector financial management
  • Loan preparedness
  • Financial risk-sharing mechanisms
  • Fee waiver, exemption, and voucher systems

Some projects in this area include:

Slovakia: Technical Assistance to the Provider Payment Mechanism

Sanigest professionals effectively developed a provider payment scheme and standardized contracts on behalf of the Ministry of Health in the Slovak Republic in order for the HIC to contract selectively with providers.
Project Details

Kosovo: Strengthening the Capacity of the Health Financing

The consultancy is strengthening the capacity of the country’s Health Finance Agency (HFA) and Ministry of Health (MoH) as single payers, as well as of the managers & staff of Hospital and Clinical University Service of Kosovo and the private sector as providers of services.
Project Details

El Salvador: Financing options for the healthcare system

Assessment of sustained financing options for the El Salvador healthcare system

The project developed options to increase public health financing in El Salvador in a economically sustained way. As a result of the assignment, the group of policy makers in charge of formulating the social policy of the March 2009 elected government had an adequate basis to set up the program of enhancing health coverage.

Project Details

Belize: Financially Sustainable Scenarios for Expansion of NHI Coverage

The overall objective was to support the Ministry of Education (MOE) in the development of a reform proposal for a more equitable distribution of public resources at the secondary education level within the Belizean education system. In order to draw a reform proposal, the Sanigest team analyzed MOE collected financial data on secondary schooling and examined resource allocation systems in other countries for comparison and identifying best practices. The findings of the above analysis were presented to key stakeholders, highlighting equity problems with the current system of resource allocation, as well as key aspects of efficient and equitable systems for the allocation of public resources in education. Finally, Sanigest consultants developed a reform proposal with recommendations for increasing equity in the allocation of public resources at the secondary level.
Project Details

Cambodia: Health Sector Note: Status of Health Sector Financing

As part of the Cambodia Health Sector Note prepared by The World Bank, that aimed to provide context for the World Bank development assistance in the health sector, as well as input to the development of the Government Health Sector Strategic Plan, the Sanigest team assessed health financing from the perspective of key functions: revenue generation, pooling risks, and resources and purchasing services. Further, they explored how the performance of these functions interfaced with the objectives of improving health outcomes, providing financial protection, and characteristics of equity, efficiency, and sustainability.
Project Details

Area Expert

James Cercone

Daniel Bronstein
Senior Health Expert

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