Provider Payment Mechanisms

The main purpose of the Provider Payment Mechanisms project is to initiate the implementation of new payment systems to deliver the Essential Health Benefits Package in Sudan.

The expected outcome is to have a health insurance payment mechanism in selected states with improving coverage, quality, equity, efficiency and health outcomes.

Specific Objectives

1. To perform a situation analysis of current payment system in order to determine gaps and identify the requirement to introduce new payment mechanisms and related challenges.

2. To create key new concepts and construct technical guidelines, plan and establish working manuals to support implementation.

Discussions with Health System Leaders helped the Project Team to develop some key principles to guide the approach.

This Technical Report presents the work undertaken to date in relation to the development of the Provider Payment Mechanisms.

A large bibliography has been referenced and used to inform this report and this is presented in Appendix 1.

Pilot support sessions have been prepared by Economics By Design for the design and implementation of the Provider Payment Mechanisms.