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Health Financing & Cost Recovery in Himachal Pradesh

Health Financing & Cost Recovery in Himachal Pradesh. Basic Health Project Himachal Pradesh Indo-German Cooperation. Modes of Health Financing. Falling share of Health Budget. Resources for Operating Expenses. Charges Levied by the Societies.

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Health Financing & Cost Recovery in Himachal Pradesh

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  1. Health Financing & Cost Recovery in Himachal Pradesh Basic Health Project Himachal Pradesh Indo-German Cooperation

  2. Modes of Health Financing

  3. Falling share of Health Budget

  4. Resources for Operating Expenses

  5. Charges Levied by the Societies • Charges levied on Non-health and health services • Non-health: renting out of space, fee for medical certificates, etc. • Health: lab tests, X-ray, ultrasonography, private ward

  6. Pricing of Hospital Services * Non-salary recurrent cost per unit for a 50-bedded hospital # Non-specialised pathological tests like blood grouping, TLC/DLC, etc. @ Private ward/ bed charges $ Exclusive of prescription (drugs) cost

  7. Share in Health Financing

  8. Sources of Income

  9. Composition of Income at various levels

  10. Composition of Expenditure at various levels

  11. Problems & Challenges • Purchase procedures and powers to be defined and clearly laid down • Definition of administrative sanction (for new constructions by PWD) • Clarifications on ownership of assets (linked to loan liability) • Objective exemption policy • Focus on patient satisfaction, not providers

  12. New Developments • New Govt. restructured RKS as AKS (Aspatal Kalyan Samiti) • Abolished membership of non-govt. members • Charges revised to old (’74/’92) rates (collections fell by more than 50%) • Committee on “Rationalisation of User Charges” formed

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