Reform Pathways for
Healthcare Financing in India
A Dvara Research & IndiaSpend Webinar Series
If the desired outcomes of a properly functioning healthcare system are good health outcomes, customer satisfaction, and adequate risk protection, then the Indian healthcare system is performing very poorly. The health status of Indians, relative to other developing countries, is below par. Health expenditures are skewed heavily towards out-of-pocket expenditures, and this translates into large socioeconomic inequalities in healthcare provision. Where services are available, they are generally of low quality. Middle- and low-income households are the most disadvantaged by these failings, and neither the state nor the market appears to be effective in closing these gaps. The objective of this webinar series will be to explore one of the “control knobs” for reforming the healthcare system in India that has not received adequate attention, and that is the financing of healthcare.
To this end, we can provide anonymised household data of a financial services provider focused on remote rural geographies in India. This customer database has rich information on demographic and economic parameters along with the historical data on uptake and usage of financial instruments offered by the provider. The provider covers approximately 400,000 clients spread over more than 200 branches across three Indian states.
The Indian Health Financing Landscape: What Are The Reform Opportunities For This Decade?
Monday, September 14th, 17:30 – 18:30 IST
- Public finance first principles. What is the case for Government intervention in health care? What are the public goods in health care?
- For private goods in health, what are the limitations of a pure OOP approach?
- The importance of focusing on the quantum and effectiveness of pooled expenditures
- An overview of the reform pathways for India
Status of Health Systems in India at National and Subnational Levels – Hasna Ashraf & Nachiket Mor
Panellist
Dr Cristian C. Baeza
Executive Director, International Center for Health System Strengthening
Dr Nachiket Mor
Visiting Scientist, The Banyan Academy of Leadership and Mental Health
Dr Niranjan Rajadhyaksha
Research Director and Senior Fellow, IDFC Institute
Moderator
Bindu Ananth
Co-Founder & Chair, Dvara Trust
Commercial health insurance: Why not pay for outcomes?
Friday, October 9th, 17:30 – 18:30 IST
- Scale and reach, what segments/packages are excluded and why
- Supply-side problems
- Role for managed care models
- International best practices that India can learn from
Commercial Health Insurance in India – Status and Challenges – by Sowmini Prasad & Indradeep Ghosh
Panellist
Malti Jaswal
Senior Consultant,
World Bank Group
Neelam Sekhri Feachem
Associate Professor, University of California
Sandeep Kumar
Associate Partner, McKinsey & Company
Moderator
Dr Indradeep Ghosh
Executive Director, Dvara Research
Social Health Insurance –
The Broken Promise of Employee State Insurance (ESI)
Friday, November 27th, 16:30 – 17:45 IST
Even though ESI is a great scheme on paper, there are significant problems with its implementation and therefore its effectiveness. In this webinar, our panellists will offer their thoughts on the current state of ESI and what needs to change in order for the scheme to truly deliver on its promise. A key focus of the webinar will be to bring forward and explore the beneficiary’s perspective on ESI – a perspective that is often missing in the public discourse on ESI.
Employee State Insurance Scheme – Performance and Potential Pathways for Reform – by Sowmini Prasad & Indradeep Ghosh
Panellist
Manish Sabharwal
Chairman and Co-Founder, Team Lease
Prof. Babu Mathew
National Law School of Indian University (NLSIU)
Prof. Mohan Mani
Centre for Workers Management & NLSIU
Moderator
Govindraj Ethiraj
Founder, IndiaSpend
PMJAY: Getting it to punch above its (fiscal) weight
Wednesday, February 24th, 17:30 – 18:30 IST
- The design and structure of Pradhan Mantri Jan Arogya Yojana (PMJAY)
- Comparison to other international models of publicly funded health insurance programs: Indonesia, Sri Lanka, Vietnam
- The capacity of the Indian state to deliver on PMJAY’s promises
- Pathways for reforming PMJAY
Pradhan Mantri Jan Arogya Yojana (PM-JAY): The Scheme and its Potential to Reform India’s Healthcare System – by Sowmini Prasad
Panellist
Ajay Tandon
Lead Economist,
World bank
Mekhala Krishnamurthy
Senior Fellow, Centre for
Policy Research
Owen Smith
Senior Economist, World Bank
Moderator
John Langenbrunner
Senior Advisor for Financing and
Health Insurance