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Innovations in global health financing: measuring and having impact Paul Gertler UC Berkeley Adam Wagstaff World Bank Winnie Yip Oxford University.

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Presentation on theme: "Innovations in global health financing: measuring and having impact Paul Gertler UC Berkeley Adam Wagstaff World Bank Winnie Yip Oxford University."— Presentation transcript:

1 Innovations in global health financing: measuring and having impact Paul Gertler UC Berkeley Adam Wagstaff World Bank Winnie Yip Oxford University

2 How do we go from measuring impact of financial incentives to having impact on health financing policy? Paul GertlerUC Berkeley Adam WagstaffWorld Bank Winnie YipOxford University

3 Is research currently impacting on provider payment policy in LMICs?

4 Does research focus too much on whether PBF works and not enough on how to design PBF that works better?

5 What are RCTs good for? - Identifying the impact of implementable PBF - Learning how to design better PBF

6 Key questions concerning design of PBF What to reward? Who to reward? How to reward? [Miller & Babiarz, NBER 18932, 2013]

7 What to reward? Inputs vs outputs What inputs? What do we need to know to set appropriate price schedule?

8 Who to reward? District health authority Facility (manager) Medical staff

9 How to reward? How much compensation to make performance contingent? Fixed price per unit versus bonuses at thresholds Small incentives versus large incentives Reward in private income or facility budget? Financial versus non-financial incentives

10 Innovations in global health financing: measuring and having impact Thanks to the panel and all participants


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