Independent Research and Policy Advocacy

Political Economy of Health: Tamil Nadu

India’s healthcare sector has made significant strides in the last couple of decades. Yet, progress in terms of access, affordability, and quality of healthcare remains variable across states.  There are many factors that affect the status of health in a national/sub-national geography, with the political economy of healthcare being a key driver of health outcomes. […]

Designing Health Systems

Health systems are extremely complex, with multiple interacting components which can lead to varied outcomes depending on the context in which
they are placed. Building a systematic understanding is then essential for designing health systems and reforming existing ones.

Designing Health Systems

In this paper, we propose an analytical framework that provides an overview of the various actors and processes involved in financing, purchasing, provision and provider payments.

Watch: Reform Pathways for India’s Healthcare Financing

In India, nearly 65% of the healthcare spending is out of pocket by individuals. The remaining 35% is highly fragmented and comes from a number of central and state government funds, and insurance companies. The unprecedented healthcare crisis caused by the pandemic has brought a number of concerns about the effectiveness and sustainability of the healthcare system to the forefront.

Managed Competition – Revisiting Enthoven’s Principles

In this piece, we revisit Enthoven’s principles and propose a broader definition of the concept of managed competition in order that it may encompass other countries’ experiences that do not conform to a strict application of Enthoven’s concept.

Demand for Health Insurance

Based on a study of the theoretical and empirical literature, we conclude with a set of hypotheses that looks at how demand for health insurance can be fostered by targeting both the components of demand (intention and action), through well-designed awareness measures and nudges to overcome the various behavioural biases involved.