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Building Multilevel Incentives for a Tiered Network of Private Providers

Building Multilevel Incentives for a Tiered Network of Private Providers. Programs Focused on Rural, Poor & Scale. Gopi Gopalakrishnan, President Prachi Shukla, Country Director. World Health Partners (WHP). A non-profit organization

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Building Multilevel Incentives for a Tiered Network of Private Providers

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  1. Building Multilevel Incentives for a Tiered Network of Private Providers Programs Focused on Rural, Poor & Scale Gopi Gopalakrishnan, President Prachi Shukla, Country Director

  2. World Health Partners (WHP) • A non-profit organization • Draws on Janani program lessons in Bihar for using private sector resources to deliver care to rural poor • How to use resources outside the public • sector to supplement the public sector

  3. Broad Framework • Private Sector is the only other option to achieve scale • Taking risk is an important factor to enhance stakes • Volumes to reduce cost, Value to enforce standards • Creation of a premium segment to benchmark • Advocacy focused on better regulation

  4. Network Structure • VIDEO SLIDE

  5. Incentive Structure Sky network = increased patients; increased profits S p e c i a l i s t s C e n t r a l M e d i c a l F a c i l i t y : GP + Specialists Govt. linkages Referrals from Sky network Govt. accreditation Franchised Clinics RNTCP training Incentives on consultations TB incentive Sale of Skymeds Govt. linkages Fee from consultations Stature, credibility, recognition TB incentive Sale of Skymeds Fee from cell consultations Stature, credibility, recognition V i l l a g e s

  6. Sky network incentives • Tangible incentives: • Incentives on case identification, adherence and reporting • Increased profit due to increased caseloads • Reimbursement from Govt. scheme • Intangible incentives: • Enhanced social status and credibility • Govt. recognition • Training and communication support

  7. Financial Strategy: Sustaining Provider Interest Broad Range of Services generates Adequate Caseloads • Franchise designed for ‘Horizontal Programming’ Enforce Standards MandateDelivery of Services e.g. Family Planning Economic Viability

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