Providers have adequate incentives to deliver high-value services (e.g. PHC) and to serve vulnerable populations

National Hospital Insurance Fund (NHIF)

No. Contracts, provider payment systems and monopsonist power are not well utilized to ensure efficiency and equity. E.g. the package development process does not account for cost-effectiveness of services, and contracting has favored urban areas

National Government (Ministry of Health MOH)

No. Benefit package (e.g. implicit package), financing mechanisms (e.g. line item budgets and salaries), provider management systems (e.g. performance contracting, administrative procedures), and other measures that can motivate individual providers (e.g. access to professional development) are not well aligned to ensuring efficiency and equity.

County Governments (County Departments of Health CDOH

No. Benefit package (e.g. implicit package), financing mechanisms (e.g. line item budgets and salaries), provider management systems (e.g. performance contracting, administrative procedures), and other measures that can motivate individual providers (e.g. access to professional development) are not well aligned to ensuring efficiency and equity.

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