Adomako-Boateng, Fred Agada-Amade, Yakubu Alcantara, Arturo Clemente Althauser, Caren Barasa, Edwine W. Cashin, Cheryl Manatad de Claro, Vergil Abrenica Diaz, Gilda Salvacion Dsane-Selby, Lydia Effah, Stanley Wilson Ehsan, Fauziah Zainal Bin Kamarudin, Mohd Fozl Gakombe, Kanyenje Karangaita Githinjl, Joseph Lifclu, Maria Luong, To Hong Ly, Ousmane Madeiros, Donna Mohammed, Balarabe Nair, Arun B. Nelson, Edward Peregrino Orbih, Donald Phuong, Nguyen Khanh Ogink, Alice Taylor, Chelsea Tsilaajav, Tsolmongerel Viet, Nguyen Tuan Bin Abd Wahab, Muhammed Anis Waiganjo, John
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This toolkit seeks to address the gap in data utilization by providing guidance and tools based on practical experience to help countries implement provider payment monitoring systems that use claims and/or other routine administrative data. Such a monitoring system can: 1) generate indicators and analytic reports to monitor whether provider payment systems are achieving service delivery and other objectives or leading to unintended consequences, 2) point to particular services, providers, or other areas that warrant deeper analysis, 3) alert purchasers if modifications to the payment systems design and implementation may be needed, and 4) support ongoing dialogue among purchasers, providers, and other stakeholders that can lead to better health service delivery and help refine provider payment systems.
provider payment data analytics universal health coverage