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Pre-Congress Sessions

Pre-Congress Sessions, July 13-14, 2019
iHEA 2019 Congress, Basel

 

 

Overview of Pre-Congress Sessions

 Saturday July 13, 2019

Full Day Sessions
8:30 - 16:30

Immunization Economics

Global Health Expenditure Tracking

Half Day Sessions
13:00 - 16:30

Data on Budget Impact & CEA
to Inform Benefit Packages
Beyond Vertical: Integrating Vertical Programs into Insurance Schemes
Early Career Researcher Pre-Congress Session
(two parallel sessions that will run
from 13:00-18:15)
Measurement of Industry-led
Access-to-MedicinesPrograms

Two-Hour Session
14:30 - 16:30

Household Health Expenditure Surveys: Are they Worth the Cost?

  

Sunday July 14, 2019


Full Day Sessions
8:30 - 16:30
 
Immunization Economics 
 4th ICECAP Measures Workshop
  Economics of Obesity
 Economics of the Health Workforce 

Half Day Sessions
8:30 - 12:00

Health Care Provider Behavior &
Quality of Care in LMICs
 Training Workshop: Household Survey
Data on OOP Expenditure
 Teaching Health Economics - Active Learning Methods
Financing Common Goods for Health

China's Health Care Reform:
Global Lesson for UHC
 

 Half Day Sessions
13:00 - 16:30
The Benefit-Cost Analysis Reference Case 
Financing for UHC: Driving Change Through Strategic Purchasing 

Two-Hour Session
10:45 - 12:45

Value of Health Insurance Data from a Public Health Perspective

       


Pre-Congress Program Overview Program
Printable version

 

Short Descriptions of Pre-Congress Sessions
   

Saturday July 13 - Sunday July 14, 2019 (two full days)

Immunization Economics
Organizer: iHEA Immunization Economics Special Interest Group

Kollegienhaus Hörsaal 102

The iHEA Immunization Economics Special Interest Group (SIG) is excited to have you at the upcoming two-day Immunization Economics pre-congress session in Basel, Switzerland, July 13-14. The updated agenda covers a wealth of content that is guaranteed to pique your interests. In particular, we will have featured updates on research findings and methodological resources; concurrent capacity building sessions covering analytic methods and knowledge translation; and distinguished panelists and speakers covering a broad range of topics from stakeholder engagement, broader use of data, capacity-building, policy, and decision-making, all while maintaining our focus topic on the economics of immunization.

We thank the iHEA organizers for securing us a bigger venue to accommodate the high demand for registration slots. We currently have over 130 participants and speakers registered, which include top MoH/MoF officials, HTA and Immunization Economics experts from governments and universities representing over 40 countries and 75 organizations including the WHO, UNICEF, GAVI, CDC, USAID, IHME, and the Bill & Melinda Gates Foundation. The latest draft of the agenda is available at immunizationeconomics.org/basel.

In addition to the main agenda, we will also have a poster presentation session throughout this two-day event. We will implement the new #betterposter design that took the internet by storm. In addition to awarding the five highest-scoring presentations with travel support, we also extended support to a handful of incredible poster submissions to mitigate their financial barrier and allow them (mostly from LMICs) to come to present their findings. These posters, representing works from over 20 countries, share insights that will undoubtedly enrich your learning experience in Basel. We are also working on a social event on Saturday night so participants can get to know each other and establish new connections.

The following posters will be presented:

Saturday July 13th

Kaja Abbas. Effects of demography, disability weights and cervical cancer burden on HPV vaccination impact estimates of the PRIME model

Alex Adjagba. Estimating the costs of strengthening a Second Year of Life (2YL) healthy child visit in Namibia and Cape Verde

Onur Altindag. Short and long-term consequences of population-based childhood vaccine programs

Pamela Bakkabulindi. Knowledge, attitudes, and practices concerning cervical cancer prevention in Uganda: a review of literature and critical appraisal

Samantha Clark. The impact of vaccination on gender equity: conceptual framework and human papillomavirus (HPV) vaccine case study

Ciaran Kohli-Lynch. Cost-Effectiveness of Rubella Vaccination: Informing Implementation in South Africa

William Lodge II. Examining vaccination completeness in Reproductive and Child Health (RCH) registers in India

Fatuma Manzi. The Costs of Different Vaccine Delivery Strategies to Reach Children Up to 18 Months in Rural and Urban Areas in Tanzania

Amila Megraini. The Costs of Delivering Vaccines in High Coverage Areas in Indonesia Using Different Delivery Strategies

Hoang Van Minh. The Costs of Preparation and Delivery of Td Vaccine to 7-Year-Old Children in Vietnam

Aloysius Mutebi. Potential Challenges In Collecting Pneumonia, Diarrhea and Measles among children under five years-Related Costs From Different Health Facility Levels In Uganda

Gwat Nazah. Health Insurance and mother/child immunization in Cameroon

Anita Pinheiro. Cost of implementing the Intensified Mission Indradhanush Programme

Katherine Rosettie. The estimated cost-effectiveness of a Shigella vaccine in children under five in Ethiopia

Abdur Razzaque Sarker. Willingness to Pay for Oral Cholera Vaccines in urban Bangladesh

Ryoko Sato. Effect of Vaccine Direct Delivery (VDD) on vaccine stockouts and vaccination cases

Florence Sibeudu. Cost-Effectiveness Analysis of Routine immunization and Supplemental immunization Activities for measles immunization to children in Anambra state, South-east, Nigeria

Dayoung Song. Delivery Costs of Typhoid Conjugate Vaccine Introduction in Navi Mumbai, India

Auliya Abdurrohim Suwantika. Cost-effectiveness and budget impact analyses of Pneumococcal vaccination in Indonesia

Kelsey Vaughan. Systematic Review Findings on the Cost of Delivering Vaccines in Low- and Middle-Income Countries: Unit Cost Catalogue and Cost Ranges

Elizabeth Watts. VIEW-hub at your Fingertips: Freely Available Real-time Monitoring of Vaccine Use, Coverage, and Impact

 

Sunday July 14th

Gabriella Ailstock. From Data to Metrics: Multi-Country Vaccine Supply Chain Cost and Performance Benchmarking

Grace Chee.  A community dedicated to supporting countries as they transition away from GAVI support to full domestic financing of their national immunization programs.

Gatien de Broucker. Early stakeholder engagement in economic evaluation in Uganda

Ama Fenny. Ghana Beyond Aid: Implications for Funding Early Immunizations and Inequalities in Immunization Coverage

Heather Fraser. WHO Economic Analysis Value Chain of Seasonal Flu Vaccination Programme

Cristina Garcia. Making Data Matter: Impactful Results Dissemination Through Storytelling and Stakeholder Engagement

Vladimer Getia. Immunization Financing: Mobilization of resources and effective use allocated resources in immunization program Georgia’s Experience

Ulla Griffiths. Budgeting for Immunization in nine Eastern and Central European countries

Maryam Huda. Creating the Architecture of Sustainable Immunization Financing, Pakistan Workshops

Gloria Ikilezi. Effects of development assistance for immunization on vaccine coverage (1996 to 2016)

Carol Kamya. Uganda’s Dependence On Development Partner Support.: A Five Year Resource Tracking Study (2012-2016)

Krystal Lau. Social Norms and Free-Riding in Influenza Vaccine Decisions: An Online Experiment

Vu Quynh Mai. Factors Associated with the Funding Gap Between the Full Economic Delivery Costs and the Full Fiscal Delivery Costs of the Routine EPI in Vietnam

Lucy O'Keeffe. Reference Case Guidelines for Benefit-Cost Analysis in Global Health and Development

John Ojal. Sustaining pneumococcal vaccination after transitioning from GAVI support: a modelling and cost-effectiveness study in Kenya

Sachiko Ozawa. Hard-to-reach Populations: A systems mapping approach to bridging the gaps for vaccination

Mohammad Akbar Paiman. Immunization Program Economy & Sustainability in Afghanistan

Arthorn Riewpaiboon.  Micro-costing vs FLUTool; Cost Analysis of Influenza Vaccination for Pregnant Women in Thailand

Tatenda Yemeke. Role of Pharmacists in Vaccination in Low-and Middle-Income Countries (LMICs)

Pempa. Towards the introduction of pneumococcal conjugate vaccines in Bhutan: A cost-utility analysis to determine the optimal policy option  

 


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Saturday July 13, 2019

Global Health Expenditure Tracking 
Organizer: Ke Xu, World Health Organization
8:30 - 16:30, Kollegienhaus Hörsaal 001

The System of Health Accounts 2011 (SHA 2011) is an updated version of the international framework tracking financial resources in the health sector from sources through to uses. In 2017, WHO began publishing global health expenditure data (GHED) using the SHA 2011 framework. GHED presents detailed information on the role of governments, households and donors in funding health services—and the financing arrangements through which these funds are channeled and spent.

High quality health expenditure data can enhance decision-making and accountability, both directly through use at country level, and indirectly through the availability of internationally comparable information as a global public good.  The preconference will cover the data sources, the estimation methods and the policy use of health expenditure data with specific focuses on three technical areas: domestic government spending on health and external aid, disease and program specific expenditure, and health expenditure by functions and primary health care.

 

Session 1: Disease and program specific expenditure deep-dive

The 2011 released System of Health Accounts (SHA 2011) framework is used to produce expenditures by disease and program intervention areas using five mutually exclusive main categories – namely, infectious and parasitic diseases, reproductive health, nutritional deficiencies, noncommunicable diseases, and injuries. Vertical program approaches to tracking these expenditures (e.g. National AIDS Spending Assessment for HIV/AIDs and Joint Reporting Framework for immunization) serve a different objective than the SHA 2011 framework, and utilize different scopes, boundaries and data sources. As a result, the expenditure amounts generated from these various disease-specific methodologies and those from SHA 2011 can significantly deviate from each other. Even within the same scope and boundary, results can fluctuate wherever a different method is used for allocating shared expenditures – e.g. health workforce salaries – or when data come from different primary sources.

Structure of the session:

In this session we will discuss the following topics:

1.     Who are the potential users of the disease/program specific expenditure data? What variables and indicators are useful for different users: donors, global health initiatives and national policy makers?

2.     What are the methods and data sources used to produce the disease expenditures? And how frequently are countries able to produce their health accounts disease estimates?

3.     Presentation of country case studies

 

Refreshment break

 

Session 2: Measuring Primary Health Care expenditure without knowing what it is?

The functional classification of the System of Health Accounts 2011 delineates health care activities by type: individual or collective services; basic purpose (curative, rehabilitative, long-term care, preventive); and mode of provision (inpatient, day-care, outpatient and home-based). The functional classification provides important information on service delivery and support policy makers in tracking the implementation of health system strategies, including strategies promoting primary health care.

 

Structure of the session:

The session starts with a survey poll and a short presentation by the chair. It is followed by panel discussion. Panel members are from countries and global partners 

 

Lunch break

 

Session 3: Domestic government spending and external aid on health: policy implications

Domestic government spending on health is critical for achieving UHC and SDG 3. It is one of the key indicators for monitoring government commitment to health. However, external funding is still essential in most low income countries to meet the funding gaps for basic services. The focuses of this session are:

1.     Understanding the drivers of public spending on health form domestic sources from macro-fiscal perspectives: economic growth, fiscal capacity and prioritization of health

2.     Understanding the dynamic between external aid and domestic public spending on health: when fungibility occurs and what is the potential role of health aid beyond filling the funding gap?

Structure of the session:

Panel discussion

 

Refreshment break

 

Session 4: Domestic government spending on health and health aid: which number to use?

Health expenditures from both domestic public sources and external are of great interest for national health financing policy and global health policy. Globally there are many efforts on data collection and data estimation of external aid on health. With the increasing interest in external aid, it is often confusing to see different sets of numbers. The session will bring together major players in this area to talk about the sources and estimation methods of external aid on health.

Structure of the session

The session includes presentations and panel discussion

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Data to Drive Benefit Package Design: A Hands-on Orientation to WHO Tools for Informing Strategic Purchasing Priorities Through Cost-Effectiveness and Budget Impact Analysis 
 
(Short title for registration: Data on Budget Impact & CEA to Inform Benefit Packages)
Organizer: Karin Stenberg, World Health Organization
13:00 - 17:00, Kollegienhaus Hörsaal 114

The objective of this session is to orient participants to existing, practical tools for country level economic analysis to guide strategic purchasing priorities under UHC. The format combines technical presentations, country experiences, and hands-on training.

This session is centred around methods and tools to inform decisions around what interventions to include in guaranteed health benefit packages. Many countries include cost-effectiveness as a criteria. However, service packages also need to take into account budget implications, health system capacity and feasibility of implementation.

In this session participants will learn about tools supported by WHO and other UN agencies to facilitate country-level generation of cost and impact projections, intended to inform both cost-effectiveness analysis and budget impact assessment. Participants will carry out hands-on exercises to generate data, hear from country users about their experience, and engage in discussion around the applications. 

Participants are encouraged to bring their own laptops to be able to participate fully in the hands-on exercises.  

List of presenters and facilitators:

1.     Karin Stenberg, WHO

2.     Melanie Bertram, WHO

3.     Howard Friedman, UNFPA

4.     Neil Thalagala, Ministry of Health, Sri Lanka

5.     Alemayehu Desalegne Hailu, Ministry of Health Ethiopia, and University of Bergen 

6.     Getachew Teshome Eregata, Ministry of Health Ethiopia, and University of Bergen 

7.     Sayem Ahmed, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) 

 

Programme

Time

Activity

Presenter

13.00-13.10

Welcome and introductions

(software installation as needed)

Karin Stenberg

13.10-13.30

Data to drive benefit package design: an overview of WHO methods

· WHO-CHOICE tool kit to generate country level evidence on cost-effectiveness, budget impact, and health system impact

· Guidance on processes for using the evidence to inform strategic purchasing decisions

Melanie Bertram, Karin Stenberg

13.30 - 13.45

Quick orientation to the OneHealth Tool

Howard Friedman

13.45 - 14.00

Using the OneHealth Tool to inform the costing of the Essential Health Service Package in Bangladesh

Sayem Ahmed

14.00—14.15

Q&A

All

14.15—14.30

Introduction to hands-on exercise on the OneHealth Tool

Howard Friedman

14.30 -15.00

Coffee break

 

15.00 - 15.30

OneHealth Tool Hands-on exercise

 

Guidance provided by facilitators

15.30 – 15.45

Introduction to hands-on exercise on cost-effectiveness analysis (CEA)

Melanie Bertram

15.45 - 16.00

CEA hands-on exercise: select inputs and run

 

Guidance provided by facilitators

16.00 -16.15

Data to inform policy and purchasing decisions: revising the Essential Health Services Package in Ethiopia

Alemayehu Desalegne Hailu and Getachew TeshomeEregata

 

16.15 -16.30

Future resource needs for Primary Health Care: generating estimates for Indonesia

Neil Thalagala

16.30 – 16.50

Review results from CEA hands-on exercise

 

Making the link between CEA and budget impact

 

Melanie Bertram

16.50 – 17.00

Conclusion and wrap up

Karin Stenberg

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Early Career Researcher (ECR) Pre-Congress session
Organizer: iHEA Early Career Researcher Special Interest Group
13:00 - 18:15, Kollegienhaus Hörsaal 116 & 117  (followed by reception)

A key objective of the Early Career Researcher Special Interest Group (ECR-SIG) is to facilitate communication and exchange of ideas between ECRs and senior health economists. The ECR-SIG conveners have therefore organised a pre-congress session dedicated to ECRs. The aim of this session is to provide a forum for ECRs to present their research and receive detailed feedback from both their peers and also senior researchers in their field.

 

ECRs were selected via a competitive abstract submission and peer-review process to participate in this initiative, and were required to submit a working paper based on this abstract in advance of the session. Twelve papers will be presented in two parallel sessions. Password-protected versions of submitted papers will be circulated around confirmed attendees prior to the session.

 

Each paper will be allocated to a 45 minute slot during which a senior health economist will discuss the paper. This discussant will evaluate the strengths and weaknesses of the paper and consider how to solve any problems with the work. The discussant will also make suggestions regarding how the ECR might proceed with this work. This could include advice on which journals to target, how the paper could be written for different audiences, how to attract an international audience to the paper, and how to improve the odds of getting the paper accepted in a leading health economics journal. The conversation will then be opened up to the other ECRs and senior researchers in the room, with an emphasis on providing constructive feedback.

 

We expect that the benefits of this approach will not only accrue to the ECRs whose paper was selected, but that all ECR attendees will benefit from hearing the feedback provided by senior health economists (some of which will be specific to the submitted paper, and some of which will be more general). All ECR attendees will have access to senior health economists before, during and after the session. After the session there will be a reception, which will be open to ECRs who have not participated in the session itself, to provide further opportunities for ECRs to engage with senior health economists.

 

A prize will be awarded to the paper with the greatest potential to contribute to the health economics literature. This prize has been generously provided by the editors of Health Economics and the publishers of this journal, Wiley. This prize is not connected in any way with the iHEA Annual Student Paper Prize; these are two separate prizes. Papers will be reviewed by a prize committee comprised of senior health economists participating in this session, iHEA Board Directors and the conveners of the ECR Special Interest Group. The winner will be announced during the 2019 Congress in Basel. The prize comprises: the offer of potential fast track publication in Health Economics, subject to peer-review and Editorial approval; books to the value of USD 150 from the Wiley catalogue, and a one year online subscription to Health Economics.

 

Programme

 

 

Kollegienhaus Hörsaal 116

Kollegienhaus Hörsaal 117

13:00-13:10

Welcome

Welcome

 

Inequalities

Chair: Angela Micah

Demand for Healthcare

Chair: James Buchanan

13:10-13:55

Annie Haakenstad

The Impact of the Affordable Care Act on Rural-Urban Disparities in Colonoscopies in Maine: An Interrupted Time Series Analysis

Discussant: Di McIntyre

Kaat de Corte

Iterative Survey Design Within a Causal Framework to Predict Individual Decision-Making Based on Stated and Revealed Preferences: The Case of Blood Donation

Discussant: Anthony Scott

13:55-14:40

Christina Tzogiou

What explains the inequalities in healthcare use between immigrants and natives in Switzerland?

Discussant: Philip Clarke

Toby Watt

The impact of food price promotion on demand, stockpiling behaviour and increased consumption

Discussant: Eric Finkelstein

14:40-15:00

Refreshment Break

Refreshment Break

 

Financial Incentives

Chair: Tiara Marthias

Healthcare in Africa

Chair: Giulia Greco

15:00-15:45

Véra Zabrodina

A Moneymaking Scan: Dual Reimbursement Systems and Supplier-Induced Demand for Diagnostic Imaging

Discussant: Richard Smith

Martina Mchenga

Optimal number of antenatal care visits for positive birth outcomes in resource-constrained settings

Discussant: Virginia Wiseman

15:45-16:30

Rong Fu

How Did Hospitals Respond to Prospective Payment System under the Japanese Universal Healthcare System?

Discussant: Jui-Fen Rachel Lu

Lausdeus Otito Chiegboka

Mathematical Model and Cost-effectiveness Analysis for the Scale-up of Interventions against Malaria in South-west Nigeria

Discussant: Catherine Goodman

16:30-16:45

Break

Break

Prenatal and Maternity Healthcare

Chair: Giulia Greco

Healthcare Organisation Behaviour

Chair: Thorhildur Ólafsdóttir

16:45-17:30

Serena Yu

Private provider incentives in health care: the case of birth interventions

Discussant: Peter Berman

Alice Chen

Physician Deterrence from Fraud, Waste, and Abuse

Discussant: Audrey Laporte

17:30-18:15

Laura Wherry

The Short- and Long-Term Effects of a Large-Scale Prenatal Care Intervention

Discussant: Erin Strumpf

Visa Pitkänen

Geographical Availability and Health Care Utilization: Evidence Using Changes in Contract Periods

Discussant: Winnie Yip

18:15-20:00

Reception for ECRs

 

 Best paper in ECR pre-congress session prize
Sponsored by Health Economics

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Beyond Vertical: Experiences and Approaches to Integrating Vertically-funded Health Programs into Insurance Schemes – Lessons from Africa & Asia 
(Short title for registration: Beyond Vertical: Integrating Vertical Programs into Insurance Schemes)
Organizer:
 Health Policy Plus Project, HP+
13:00 - 16:30, Kollegienhaus Regenzzimmer 111

Global health funding streams have achieved significant success with priority health interventions (HIV, TB, FP) through dedicated investment and often times the use of parallel systems for service delivery, procurement, data management and oversight. This approach allowed for significant gains to be made with these interventions while the broader health system made more incremental progress. As donor funding plateaus and declines, there is increased interest in effectively integrating these services within health financing reforms that are happening in several countries. Integration has several elements and must consider the legal and regulatory frameworks in place, the costs associated and financing impacts of different payment modalities, the existing and projected enrolment pathway, and the service delivery implications. The incentives for providers and payers also vary significantly by health intervention. HIV may only impact a small proportion of the insured population, but represents a lifelong cost to the payer. TB has a time-bound treatment course and has clear public health benefits, but requires providers to commit to the intensity of effort to deliver the care for TB-DOTS as needed. FP applies to the general population and is also a recurrent cost, but has complexities around current and desired method mix, and method availability at different levels of the health system. FP availability also impacts need in the covered population for MNH interventions, which affects both payer and provider incentives.

During this session, HP+ will explore different approaches taken to consider integration of various vertical programs in several countries. We will also consider how integration plans must navigate the regulatory environment, potentially revise procurement and supply chain approaches, and employ strategic purchasing mechanisms to ensure quality outcomes while achieving efficiency gains.

Presentation (titles subject to change)

Presenter

Timing

Setting the scene: a framework for integration considerations

Arin Dutta, Health Policy Plus

1:00 – 1:15pm

HIV integration: different epidemics, health financing schemes, donor involvement and HIV progress influence integration rationale and approach

Indonesia: Leveraging JKN to accelerate HIV progress

Dr. Kalsum Komaryani, Centre for Health Financing, Ministry of Health Indonesia

1:15 – 1:30pm

Cambodia: Consolidating HIV success through integration with SHI

TBD, Ministry of Economy and Finance, Cambodia

1:30 – 1:45pm

Tanzania: Building the evidence base for integration into a future NHIS

Bryant Lee, Health Policy Plus

1:45 – 2:00pm

Rwanda: Exploring the role of CBHI in sustainable financing for the HIV response

Rebecca Ross, Health Policy Plus

2:00 – 2:15pm

TB integration: working with nascent state level insurance to expand access to TB treatment

Nigeria: Developing political will for integration of TB care in the Lagos State Health Insurance Scheme

TBD

2:15 – 2:30pm

Tea break

2:30 – 3:00pm

Family planning integration: leveraging the private sector (for both insurance and service provision) to expand method mix

Bangladesh: Expanding method mix through improved financial protection in the private sector

TBD, Telenor Health, Bangladesh

3:00 – 3:15pm

Discussion

Donor perspectives: USAID’s approach to integration

Linda Cahaelen, USAID

3:15 – 3:25pm

Panel of presenters: Comparing and contrasting approaches and drivers of success in integration

Moderator: Linda Cahaelen, USAID

3:25 – 4:00pm

Audience Q&A/discussion

Moderator: Shree Prabhakaran, Health Policy Plus

4:00 – 4:25pm

Concluding remarks

Suneeta Sharma, Health Policy Plus

4:25 – 4:30pm

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Using Household Data for Evidence-Based Health Financing Decision-Making: Are Health Expenditure and Utilization Surveys Worth the Cost? 
(Short title for registration: Household Health Expenditure Surveys: Are they Worth the Cost?)
Organizer:
 Health Policy Plus Project, HP+
14:30 - 16:30, Kollegienhaus Fakultätenzimmer 112

How should countries decide on appropriate survey approaches given resources for design, piloting, data collection, analysis, and dissemination? How should the stage of health sector reforms and the health system maturity inform the decision? Some middle-income countries implement periodic household health expenditure and utilization surveys (HEUS) with detailed data on sources of financing, providers, and inpatient and outpatient utilization. Other countries contend with no such data or only data from health expenditure modules in DHS, or questions in Living Standards Surveys or household budget surveys. The latter two are not intended to be detailed sources of health data. While HEUS offer the most granularity, and if conducted repeatedly, can help track health sector reform, they also come at significant additional cost and still do not obviate need for a DHS.

Join us to learn from some country experiences (Philippines, Kenya) in prioritizing HEUS or similar detailed surveys and contextualizing these data for health sector reform, as well as experiences in other countries (Indonesia, Ukraine) to use other general household surveys to inform health financing decision-making. The session will feature presentations from:

  • Indonesia Ministry of Health, Center for Health Financing and National Health Insurance (PPJK)
  • National Health Service of Ukraine (NHSU)
  • Philippines Department of Health

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Measurement of Industry-Led Access-to-Medicines Programs
Organizer:
Peter Rockers, Boston University
13:00 - 16:30, Kollegienhaus Hörsaal 119 

The session will focus on ongoing efforts to build systems and standards for measurement and reporting on private sector social impact, with a particular focus on programs led by pharmaceutical companies that aim to improve access to health services and treatments in low- and middle-income countries. The meeting agenda will include presentations from key users of social impact information, including impact investors, civil society organizations, and companies themselves, recognizing that measurement standards should be fit-for-purpose. There will also be a presentation by a methods expert examining the conditions under which measurement of social impact is feasible and appropriate. After the presentations are complete, an invited panel will discuss, with audience participation, key next steps for strengthening institutions to ensure industry accountability and to build an evidence base on what works to improve access.

Participation in this session was initially by invitation only but a limited number of seats have now been made available which congress delegates can register for.

 

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Sunday July 14th, 2019

Economics of Obesity
Organizer
: iHEA Economics of Obesity Special Interest Group
8:30 - 14:30, Kollegienhaus Hörsaal 116

This pre-congress workshop will be led by the Economics of Obesity Special Interest Group (EOSIG) and will provide a platform for economists to collaborate, network and share experiences with obesity research.  Our aim is to support PhD students and early-career researchers with providing an opportunity to present, and receive feedback on their obesity research; alongside sharing different country experiences and understanding what lessons can be learned by sharing methods and findings.

The workshop will provide an opportunity for all members of the EOSIG to meet face-to-face with plenty of opportunity for informal interaction and networking. It will also provide other members of iHEA an opportunity to learn more about the EOSIG – all participants welcome!

 

Programme

08:20-08:40: Arrival and registration

08:40-08:50: Introductions and plans for the day


MORNING SESSION: DRAWING ON MULTI-COUNTRY EXPERIENCES

08:50-09:10: Estimating the Lifetime Benefits of Childhood Obesity Interventions: A Dynamic Microsimulation Model.  Presenter: Gabriella Conti

09:10-09:30:  Do consumers respond to “sin taxes” heterogeneously? New evidence from the tax on sugary drinks using retailer scanner data.  Presenter: Toni Mora

09:30-09:50:  Intergenerational Transmission of Body Mass in Australia. Presenter: Alfredo Paloyo

09:50-10:00: Q&A/Discussion

 10:00-10:30: REFRESHMENT BREAK

10:30-10:50:  The Hidden Role of Piped Water in the Prevention of Obesity. Experimental and Non-Experimental Evidence from Developing Countries. Presenter: Patricia Ritter 

10:50-11:10:  The social return on investment of ‘the Healthy Primary School of the Future’ initiative. Presenter: Marije Oosterhoff

11:10-12:00:  Small group work

12:00-13:00: LUNCH

 

AFTERNOON SESSION: ECR/PHD RESEARCH

(10 min discussion from senior economist, 10 min Q&A from floor)

13:00-13:20: Heterogenous peer effects in body weight, physical activity and dietary choices: does type of peers matter? Author: Ivan Tzintzun.  Discussant:  Bruce Hollingsworth

13:20-13:40: Bariatric Surgery is a Cost-saving Treatment for Obesity – A Comprehensive Meta-Analysis and Updated Systematic Review of the Health Economic Evaluation of Bariatric Surgery. Author: Qing Xia. Discussant: TBC

13:40-14:00: The causal effect of body mass index on inpatient hospital costs: Genetic instrumental variable (Mendelian Randomization) analysis of the UK Biobank cohort. Author: Padraig Dixon. Discussant: John Cullinan

14:00-14:20: Cost-effectiveness of the CHIRPY DRAGON obesity prevention intervention in Chinese primary school-aged children: A cluster-randomised controlled trial. Author: Mandana Zanganeh. Discussant: Alison Hayes

14:20-14:30: Q&A/Discussion 

14:30-15:00: REFRESHMENT BREAK 

15:00-15:20: The impact of a change in tax structure on soda prices in Colombia. Author: Andres I. Vecino-Ortiz. Discussant: TBC (Laura Cornelson – provisional)

15:20-15:40: Utility values for economic evaluation of obesity interventions in children and adolescents. Author: Anagha Killedar. Discussant: Emma Frew

15:40-15:50: Q&A/Discussion

15:50-16:30: Reflections on the day

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The 3rd Economics of the Health Workforce Conference
Organizers: Joanne Spetz, University of California San Francisco;  Michelle McIsaac, World Health Organization;  Matteo Ruggeri, Universita Cattolica del Sacro CuoreDiane Skåtun, University of AberdeenBianca Frogner, University of WashingtonUlrike Muench, University of California San FranciscoMichael Simon, University of Basel
8:30 - 16.30, Kollegienhaus Hörsaal 117

08:30-08:45: Opening remarks and brief introductions

Session1: Payment systems and the health workforce

08:45-09:15:
Stirring the Pot: Switching from Blended Fee-For-Service to Blended Capitation in Ontario, Canada
Presenter: Sisira Sarma, Western University, Canada
Discussant: Anthony Scott, University of Melbourne, Australia


09:15-09:45:
Does Pay-for-Performance improve quality of care? Evidence from Senegal
Presenter: Mylene Lagarde, London School of Economics, UK / France
Discussant: Luis Fernandes, Centre for Health Economics at the University of York, United Kingdom

09:45-10:15:
An Analysis of Donor Financing of Human Resources for Health Activities and Health Worker Migration in Sub-Saharan African Countries
Presenter: Angela E Micah, Institute for Health Metrics and Evaluation/University of Washington, United States/Ghana
Discussant: Michelle McIsaac, World Health Organization


10:15-10:30: Coffee Break

Session 2: Nurse employment and services

10:30-11:00:
The Complex Employment Decisions of Health Professionals over Time: Sequence Analysis of a Longitudinal Cohort of Professional Nurses in South Africa
Presenter: Duane Blaauw, University of the Witwatersrand, South Africa
Discussant: Ulrike Muench, University of California, San Francisco, United States

11:00-11:30:
The Effect of Nurse Practitioner and Physician Assistant Regulations on the Growth of the Opioid Treatment Workforce in the United States
Presenter: Joanne Spetz, University of California, San Francisco, United States
Discussant: Bianca Frogner, University of Washington, United States

11:30-12:00:
An Observed over Expected Estimator to Describe Individual Patients’ Exposure to Nurse Staffing During the Hospital Stay
Presenter: Sarah N. Musy, Institute of Nursing Science, University of Basel, Switzerland; Inselspital Bern University Hospital, Nursing & Midwifery Research Unit, Switzerland
Discussant: Diane Skåtun, University of Aberdeen, Scotland


12:00-13:00: Lunch

Session 3: Team-based care

13:00-13:30:
How Productive and Allocative Efficiency in General Practice Could Be Improved by Cooperation with Nurses: Learnings from a Mixed-Method Design to Evaluate a Teamwork Pilot in France
Presenter: Julien Mousques, IRDES, France
Discussant: Michael Simon, University of Basel, Switzerland


13:30-14:00:
Effects on Multimorbid Patients of Adding a Non-Medical Health Coach to the Primary Care Team: A Difference-in-Difference Analysis
Presenter: Vishalie Shah, University of Manchester, United Kingdom
Discussant: Audrey Laporte, University of Toronto, Canada


14:00-14:30:
No Pain, Some Gain: Same Quality at Lower Cost by Shifting Tasks Between Healthcare Professionals
Presenter: Matteo Ruggeri, Università Cattolica del Sacro Cuore, Italia
Discussant: Joana Maria R. N. de Paula Pestana, Nova School of Business and Economics, Lisbon, Portugal


14:30-15:00: Coffee Break

Session 4: Discrete choice experiments

15:00-15:30:
Rural Internship Job Preferences of Final Year Medical Students in South Africa: A Discrete Choice Experiment
Presenter: Maria Jose, University of Cape Town, South Arica
Discussant: Toshi Iizuka, The University of Tokyo, Japan

15:30-16:00:
Employment Preferences of Obstetricians and Gynecologists to Work in the Remote District Hospitals: Evidence from a Discrete Choice Experiment in Nepal
Presenter: Bishnu Gautam, Ministry of Health, Nepal
Discussant: Krishna Rao, Johns Hopkins University, USA

16:00-16:30: Closing remarks and planning for Workforce SIG activities

 

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4th ICECAP Measures Workshop

Organizers: Joanna Coast, University of Bristol; Paul Mitchell, University of Bristol
8.30 - 16.30, Kollegienhaus Hörsaal 114

The ICECAP measures (www.birmingham.ac.uk/icecap) are measures of capability wellbeing, intended for use in applied studies, including economic evaluation, to aid resource allocation decisions.  The measures are currently included in more than 250 research studies across 18 countries.  Following ICECAP user workshops in the UK in 2008, 2011 and 2014, this will be the first international ICECAP user workshop, providing the opportunity for participants from across the world to bring together experiences from a variety of cultural settings, develop collaborations and influence the research agenda.  The workshop will update on current ICECAP-related research, provide a forum for discussion about use of the measures, and consider issues around the use of the measures in decision making. 


Program

Presenter

Affiliation

Presentation

Session 1 (08.30-10.00): Recent developments   

Chair: Nikki McCaffrey (Deakin University, Australia)

Joanna Coast

University of Bristol, UK

ICECAP: a current overview

Samantha Husbands

University of Bristol, UK

Challenges with sampling and recruiting children and young people for ICECAP measure development

Annette Willemoes Holst-Kristensen

Aalborg University, Denmark

Test-Retest Reliability of ICECAP-A in the Adult Danish Population

Session 2 (10.30-12.00): Practical case studies     

Chair: Aileen Neilson (Edinburgh University, UK)

Lidia Engel

Deakin University, Australia

Exploring the content and face validity of the ICECAP-O and five other preference-based measures within the context of dementia

Joanna Coast

University of Bristol, UK

Measuring capability in people with advanced dementia

Hareth Al-Janabi

University of Birmingham, UK

ICECAP-A as a quality of life measure for family carers

Session 3 (13.00-14.30): Using ICECAP in decision-making   

Chair: Rachael Morton (University of Sydney, Australia)

Philip Kinghorn

University of Birmingham, UK

Using deliberative methods to elicit a monetary threshold for a year of sufficient capability

Ilias Goranitis

University of Melbourne, Australia

Applications of capability and sufficient capability approaches in economic evaluation: a case-study on heroin addiction

Session 4 (15.00-16.30): Capability measurement in economic evaluation: current state and future directions

Chair: Claire Hulme (University of Exeter, UK)

Workshop discussion

 

15:00-15:20       5 minute inputs by:

 

 

 

15:20-15:50

15:50-16:20

16:20-16:30

Is capability living up to its promise for economic evaluation?

Judit Simon, Medical University of Vienna, Austria

Giulia Greco, LSHTM, UK

Paul Mitchell, University of Bristol, UK

Julie Ratcliffe, Flinders University, Australia

Breakout discussion groups

Breakout group feedback

Final remarks (Joanna Coast, University of Bristol, UK)

  

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Health Care Provider Behavior and Quality of Care in Low- and Middle-Income Countries (LMICs)
Organizers:
Margaret McConnell and Jessica Cohen, Harvard T.H. Chan School of Public Health; and Thomas Burke, Massachusetts General Hospital
8:30 - 12:00, Kollegienhaus Seminarraum 212

8:30am - 9:05am: Emma Clarke, Doctoral student, Department of Global Health and Population, Harvard T.H. Chan School of Public Health; "Behavioral Barriers to Appropriate Management of Postpartum Hemorrhage"

 

9:05am - 9:40am: Ken Leonard, Associate Professor, Department of Agriculture and Resource Economics, University of Maryland; "The Three-Gap Model of Health Worker Performance"

 

9:40am - 10:15am: Jess King, Research Fellow, Department of Global Health and Development, London School of Hygiene and Tropical Medicine; "Over-provision in the Tanzanian private sector: classifying and quantifying unnecessary care"

 

10:15am-10:35am break

 

10:35am - 11:10am: Manoj Monahan, Associate Professor, Sanford School of Public Policy, Duke University; "What you get is what you (can) see: Publicly Observable Signals of Generosity and Effort of Healthcare Providers"

 

11:10am - 11:45am: Jed Friedman, Senior Economist, Development Research Group, World Bank; " Paying for the Quality of Labor and Delivery Services: Results from a National P4P Pilot in the Kyrgyz Republic”


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Measure What Matters: Training Workshop on Household Survey Data on Out-of-Pocket Health Expenditure 
(Short title for registration: Training Workshop: Household Survey Data on OOP Expenditure)
Organizer:
Gabriela Flores, World Health Organization
8:30 - 12:00, Kollegienhaus Hörsaal 119

The 2017 Global Monitoring Report on tracking universal health coverage (UHC) established that about 800 million people incurred catastrophic health spending defined as expenditures exceeding 10% of household total consumption and almost 100 million people had less than $1.90-a-day to live with, as a result of paying out-of-pocket for health. But where are these numbers coming from?

These indicators are compiled from household surveys that are routinely conducted by National Statistical Offices to primarily inform national accounts, calculation of consumer price index and monitoring of living standards. These surveys are not standardized across countries; there is considerable variation in the comprehensiveness of the health expenditure list, its specificity, the choice of the recall period and the method of data capture. Aggregate data on OOP spending from these surveys is also used to track the performance of the health financing system over time and across countries through the compilation of health accounts.

There is an increasing need for standardization of instruments used to collect data on OOPs to improve accuracy, reliability of estimates and better inform financial protection monitoring and national health accounts.

 

This pre-conference session is organized around three pillars:

Session 1: What is the issue? (8:30-9:15)

  • Household survey data requirements to better inform financial protection and out-of-pocket health expenditure tracking for national health accounts:
  • Data sources: pros and cons of different type of household surveys for different case use

 

Session 2: Hands-on data analysis (9:15-10:45)

  • Empirical analysis of household surveys:
    • Introduction to STATA datasets available for this training
    • Analyse the breakdown of out-of-pocket health expenditures using STATA
    • Group discussion

 

Session 3: Where we are and going forward (10:45-12:00)

  • Sensitivity of estimates to the survey design
  • WHO new modules to collect data on household’s out-of-pocket health expenditures
  • Medical expenditure risk

Structure of the sessions

  • Sessions 1 & 3 include presentations and group discussions
  • Session 2 is a computing session. It requires access to STATA 9 or higher installed on a laptop. The software will not be provided by WHO. It will also be possible to use R but any code shared may not be available yet in R language. 

 

Recommended readings

Lu C, Liu K, Li L, Yang Y. Sensitivity of measuring the progress in financial risk protection to survey design and its socioeconomic and demographic determinants: A case study in Rwanda. Social science & Medicine. 2017;178:11-18. doi:10.1016/j.socscimed.2017.02.001  

Lavado F., Brooks B. and Hanlon M. Estimating health expenditure shares from household surveys. Bull World Health Organ 2013;91:519–524C 

Richard Heijink, Ke Xu, Priyanka Saksena and David Evans, Validity and comparability of out-of-pocket health expenditure from household surveys: a review of the literature and current survey instruments, Discussion Paper 01/2011, World Health Organization.

Xu K, Ravndal F, Evans DB, Carrin G. Assessing the reliability of household expenditure data: results of the World Health Survey. Health Policy 2009;91(3):297-305. 

Lu C, Chin B, Li G, Murray CJ. Limitations of methods for measuring out-of-pocket and catastrophic private health expenditures. Bull World Health Organ 2009;87(3):238-44, 244A-244D.  

Other resources

Classification of Individual Consumption According to Purpose (COICOP - 2018) https://unstats.un.org/unsd/classifications/business-trade/desc/COICOP_english/COICOP_2018_-_pre-edited_white_cover_version_-_2018-12-26.pdf

OECD/WHO/Eurostat (2011), A System of Health Accounts: 2011 Edition, OECD Publishing, Paris http://www.who.int/health-accounts/methodology/en/ : chapters 5, 6, 7 and 8 (focus on OOPs)


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Financing Common Goods for Health
Organizer:
Joe Kutzin, World Health Organization
8:30 - 12:00, Kollegienhaus Hörsaal 118

CLICK HERE TO VIEW THE FLYER FOR THIS SESSION

Session description

The Ebola crisis and climate-related disasters are bringing home a scary realization that the World is not ready for pandemics or existing and emerging planetary health challenges. There has been a major failure by donors and countries to prioritize investments in core functions that are fundamental to protecting and promoting health and well-being.  These functions, called “Common Goods for Health,” are population-based functions that require collective financing either from government or donors due to their related market failures. 

 

This half-day session will present a new WHO knowledge program to address obstacles to under-financing of these Common Goods for Health. This session will articulate, provide the technical and economic rationale for, estimate the cost of, identify modalities, and provide country experiences for financing common goods for health.  Top academics and practitioners at the frontline of implementation will be brought together to present work and experience on these issues.

 

 

Section 1 (8:30-10:00): Motivation, framework and financing mechanisms

Chair: Agnes Soucat, WHO

 

Title: When both markets and governments fail health

Presenters: Abdo Yazbeck, independent consultant

The motivation behind financing common goods for health will be presented to provide the rationale behind the knowledge program.

 

Title: When markets fail: common goods for health

Presenter: Peter Smith, Imperial College London

A framework will be presented to identify common goods for health based on the economic rationale behind market failures with population-based interventions and functions that contribute to health and well-being. 

 

Title: Financing common goods for health: a country agenda

Presenters: Susan Sparkes, WHO

The mechanisms, as well as potential challenges and opportunities to finance common goods for health at both the national level will be unpacked and explained in detail.

 

Title: Financing global common goods for health: when the world is a country

Presenters: Gavin Yamey, Duke University

This presentation will define and analyse global common goods for health that require supranational financing and will propose policy options that address financing- and governance-related issues.

 

Break (10:00 – 10:30)

 

Section 2 (10:30 – 12:00): Country perspective on financing common goods for health

Chair: Joe Kutzin, WHO

 

Presenter: Dr. Palitha Abeykoon, President of the Sri Lanka Medicine Association

We will learn how Sri Lanka’s commitment to preventive health services and functions has informed and been incorporated into their ongoing primary care strengthening reforms, as well as hear about the challenges and successes to financing common goods for health.

 

Presenter: Tolbert Nyenswah, Director General of the National Public Health Institute of Liberia

We will hear from the Liberian leaders who managed and coordinated the national Ebola response in 2014 as to how the country is working to prioritize investments in core public health functions post-Ebola, as well as about some ongoing challenges.  

 

Presenter: Ajay Shah, National Institute for Public Finance and Policy, India

India’s decentralized government provides a rich example of ways in which public health functions have and have not been prioritized by local governments.

 

Discussant: Bill Savedoff, Center for Global Development

 

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Teaching Health Economics - Active Learning Methods
Organizer:
iHEA Teaching Health Economics Special Interest Group
8:30 - 12:00, Kollegienhaus Hörsaal 120

Session 1 (8:30-10:00)
The Practice of Teaching of Health Economics – Methods, Experiments, Databases, and Distance Learning.
Chair: Allen C. Goodman, Wayne State University

1. Useful tips for applying health economics tools to using existing case studies in health professions
Presenter: Maia Platt, University of Detroit Mercy 

The purpose of case study exercises is to foster students’ critical thinking and analytical skills through active learning assignments. This presentation will argue that simply following the given parameters of the task at hand, without critically reviewing them with economic lens, might produce sub-standard outcomes in the work environment of many health professions. The ultimate goal is to highlight the still-existing gap between a typical decision-making process in nearly any health profession vs. optimal decision-making process offered by a health professional equipped with economic tools; and to offer strategies to reduce that gap.

2. Assessing Health Economics using Portfolios: Building Skills while Building the Assessment
Presenter: Neha Batura, University College London

A portfolio is a collection of texts and/or other materials, usually including a reflective commentary, submitted as evidence that learning has taken place. We will reflect on both our own and our students experience of using a portfolio method for the assessment of two courses in Health Economics at UCL.  We will share student experience of what works and what does not.  The benefits and features of a portfolio that extends learning and builds foundation skills will be described with examples from our own work. Finally, we will explore the extent to which this assessment form differentiates students, stretching the able and supporting those feeling challenged by new concepts.

3. Sick Around the World: Activities for Understanding Health Systems for In-Class and Online
Presenter: Simon Condliffe, West Chester University

We seek to enhance student comprehension of health economics concepts and their understanding of health systems around the world. The first step is to expose students to health care data that reinforce economic theory. The second step is to connect domestic students with international students to provide a personal perspective on the differences in health care systems around the globe. These practical, active learning exercises help students to apply theory either in the classroom setting or online. Material can be tailored to suit undergraduate classes or graduate classes and the exercises can be performed with readily available data and technology.

4. Noricum: 10 Years of Student Designed Health Care Systems for a Fictitious Country
Presenter: Florian Buchner, Carinthia University

 About ten years ago, we created a role-play to simulate the scenario of a fictitious state (Noricum) to put students in a situation, where they have to tackle tradeoffs and conflicts of interest in a health care system by negotiations and legislation. The course is organized in three phases: (1) Conceptual phase - students take the roles of central interest groups and develop strategy papers including explicit goals and implementation strategies; (2) Action phase - phase of governmental legislative initiatives, negotiations and contracting between the interest groups; (3) Feedback phase is organized as a plenary workshop. Three key issues of the didactic concept are teaching by challenge, comprehensive feedback and constructive alignment.

 

Session 2 (10:30-12:00)
Active Learning in International Contexts
Facilitator: Dr. Jill B. Herndon, The University of Florida.

This “hands-on” session presents “active learning” methods in international contexts. After a short introduction, Dr. Herndon facilitates and interacts with small groups to promote active learning methods for health economics teaching and learning. She will focus on active learning in an international context.

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The Tenth Anniversary of China’s Health Care Reform: Global Lessons for Universal Health Coverage
 
(Short title for registration: China’s Health Care Reform: Global Lessons for UHC)
Organizer:
Winnie Yip, Harvard T.H. Chan School of Public Health
8:30 - 12:00, Kollegienhaus Hörsaal 001

In April 2009, China launched a huge and complex healthcare reform with the goal to provide all its citizens with access to equitable and quality basic health care by 2020. The initial phase of the reform focused on health insurance expansion and infrastructure building. The second phase turned its attention to reforming the healthcare delivery system. Ten years after the reform, much progress has been achieved but significant challenges remain, including the changing needs of an ageing population and an increase in the non-communicable disease burden. The primary objectives of this pre congress session are to: 1) empirically examine the achievements and challenges of the reform; 2) analyze the underlying causes and 3) draw global lessons.

 

Programme

Introduction: Overview of China’s Ten Years of Health Reform

 Winnie Yip, Harvard TH Chan School of Public Health

 

Session 1: Achievements, Gaps and Challenges

1.     Trends in access to health services, financial protection and satisfaction: Has China's healthcare reform achieved its goals? Hongqiao Fu, Assistant Professor, School of Public Health, Health Science Center, Peking University

2.     Decomposition of health expenditure growth before and after the reform: What are the main cost drivers of China’s healthcare system? Tiemin Zhai, Associate Professor, China National Health Development Research Center

3.     Trends in hospital care use for cardiovascular diseases following the implementation of major healthcare reforms in China: an 8-year follow-up of 0.5 million adults in the China Kadoorie Biobank. Muriel Levy, DPhil Candidate, Department of Population Health, University of Oxford

 

Session 2: Frontiers in Health Services Delivery Reform and Their Impacts

1.     Emerging models of integrated delivery systems in China: Progress and challenges. Yanchun Zhang, China National Health Development Research Center

2.     Evolution and evaluation of China's drug regulation: Evidence from the zero-markup policy. Julie Shi, Associate Professor, School of Economics, Peking University

3.     The growth of the private sector and its effects on health care cost: An empirical analysis of 1.2 million inpatients. Jay Pan, Professor, School of Public Health, West China School of Public Health and West China Fourth Hospital, Sichuan University

 

Session 3: Ageing Population and System Response

1.     Long term care insurance in China: Results from pilots. Min Hu, Associate Professor, School of Public Health, Fudan University

2.     Early life circumstances and healthy aging in China: Past, present and future. Xi Chen, Assistant Professor, School of Public Health, Yale University

 

Session 4: Reflections on China’s Experience and Lessons from and for Other Asian Countries

Panelists will provide reflections on China’s experience, discuss implications for and draw insights from other Asian countries, and engage with session participants. There will be particular focus on India, Indonesia, Vietnam, the Philippines, Japan, Korea, Taiwan and Thailand.   

  • Peter Berman, PhD; Director, School of Population and Public Health, University of British Columbia, Canada and Adjunct Professor, Harvard TH Chan School of Public Health
  • Gordon Liu, PhD; Professor of Economics, National School of Development, Peking University
  • Jui-fen Rachel Lu, PhD; Professor, Department of Health Care Management & Graduate Institute of Business and Management, Chang Gung University, Taiwan
  • Ajay Tandon, PhD; Lead Economist, The World Bank Group
  • Hong Wang, PhD; Senior Program Officer, Health Economics, Financing & System, Bill & Melinda Gates Foundation and Affiliate professor, Department of Global Health, University of Washington

 

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Value of Health Insurance Data from a Public Health Perspective
Organizer:
Siddharth Srivastava, Swiss Tropical and Public Health Institute
10:45 - 12:45, Kollegienhaus Seminarraum 103

Background

As an even greater number of countries strive towards Universal Health Coverage (UHC) and Universal Social Protection (USP), IT systems that operate in a range of complex environments for multiple stakeholders avoiding silos are a need of the hour. This is reflected in the emerging principles for donor alignment in digital health, the UHC 2030 Agenda and in the principle of the Health Data Collaborative, as well as other on-going developments to strengthen the governance of digitalisation.

openIMIS is the first open source software for managing health financing interactions. It links beneficiary, provider and payer data. It is a powerful tool to strengthen strategic purchasing of health services and digital processing of health system data.

openIMIS has a modular and adoptable design. The modules cover the following business processes:

·       Enrolment and contribution collection

·       Beneficiary verification

·       Claims management

·       Client feedback

openIMIS has a front-end interface allowing for quick registration procedures even for remote, rural areas and can be used online and offline. The modules can be customized to specific countries` and organizational needs.

The broader Initiative seeks to create and nourish the relevant communities to establish openIMIS as a Global Good for Digital Health that is:

  • adaptable to different contexts
  • based on Free and Open Source Software (FOSS)
  • governed by a clear structure with multiple funding sources
  • deployed at significant scale, across multiple countries
  • of demonstrated effectiveness
  • interoperable in design and an emergent standard application

 

Session details

Health financing mechanisms (such as insurance systems) capture a wealth of data on individuals, their families, their treatment, their health care costs, diagnosis patterns, prescribing behavior, cost of service provision, etc. In this workshop we will explore the ways in which such health system data has been/can be used to provide insights for public health system improvements in various settings. The focus will be on high as well as middle and low-income countries.

The core data elements captured in an exemplary health insurance system will be introduced to the participants along with some examples of the use of such data to trigger a facilitated brainstorming session around different possible use cases. Subsequent to the workshop these would be generalized into analytics requirements from health financing systems. The workshop would aim at gathering inputs for the openIMIS Initiative to contribute towards the development of an appropriate analytics module. The draft prepared with inputs from the workshop would be placed on a publicly available platform under a free to use Creative Commons License where further inputs and contributions can be made. The technological solution leading from these requirements will also be placed on the openIMIS repository under an Open Source license.

The workshop is expected to also raise discussions around the quality and quantity of data captured as well as challenges around sharing such data for public health research. In addition the opportunities and challenges around health data standards as pre-condition for interoperability in a country´s health information system will be explored. 

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The Benefit-Cost Analysis Reference Case: What It Is and How to Use It
Organizer:
Lisa Robinson, Harvard T.H. Chan School of Public Health
13:00 - 16:30, Kollegienhaus Hörsaal 115

Presenters
Lisa Robinson, Harvard T.H. Chan School of Public Health
David Wilson, Bill & Melinda Gates Foundation
Joseph Cook, Washington State University
Thomas Wilkinson, University of Cape Town

Overview
This workshop provides an opportunity to learn more about new reference case guidance for conducting benefit-cost analysis, including case study examples. It covers the underlying concepts, approaches for valuing changes in health and longevity, and practical implementation.

Benefit-cost analysis is a powerful tool for supporting evidence-based decision-making, both within and outside of the healthcare sector. The reference case guidance, developed with support from the Bill & Melinda Gates Foundation, is designed to increase the comparability of these analyses, improve their quality, and expand their use. It supplements the iDSI Reference Case, which provides general guidance for economic evaluation as well as guidance for conducting cost-effectiveness analysis. While the benefit-cost analysis guidance focuses on investments in low- and middle-income countries, it is also useful when assessing policies to be implemented in higher-income settings. More information on the project is provided here: https://sites.sph.harvard.edu/bcaguidelines/.

Preliminary Agenda (subject to change)
The agenda includes a series of short presentations and substantial opportunity for questions and discussion. Prior to the session, registrants will receive a set of optional background readings and references for additional information.

 

13:00-13:10

Introductions and Overview (Lisa A. Robinson)

13:10-13:30

Reference Case Purpose and Goals (David Wilson)

13:30-14:00

Benefit-Cost Analysis Concepts and Framework (Lisa A. Robinson)

14:00-14:45

Valuing Statistical Lives (Lisa A. Robinson)

14:45-15:00

Break

15:00-15:45

Sanitation Case Study (Joseph Cook)

15:45-16:30

Tuberculosis Case Study (Thomas Wilkinson)

16:30

Wrap up

 

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Financing for Universal Health Coverage: Driving System Change through Strategic Purchasing 
(Short title for registration: Financing for UHC: Driving Change Through Strategic Purchasing)
Organizers:
World Health Organization and iHEA Financing for Universal Health Coverage Special Interest Group
13:00 - 16:30, Basel Congress Centre, San Francisco

By explicitly aligning funding with service and population priorities as well as quality of care, strategic purchasing has the potential to drive improvements in efficiency and equity. However, whether this potential is realized depends on how a country translates strategic purchasing concepts into design and implementation. This session examines core economic issues that underlie strategic purchasing, including: (1) using strategic purchasing to leverage delivery system change, (2) examining the effect of fragmented financing and mixed payment on the effectiveness of strategic purchasing, and (3) how governance arrangements can enable or disable strategic purchasing.

 

Session 1: Overview of strategic purchasing

Winnie Yip, Harvard TH Chan School of Public Health

Brief overview laying out a conceptual framework and core underlying economic concepts/issues in analysing strategic purchasing.

 

Session 2: Using Strategic Purchasing to Leverage Delivery System Change

Objective: presentations on strategic purchasing and provider payment, especially for incentivising building primary care based integrated delivery

Overview and session moderator: Matthew Jowett, WHO

Country examples:

1.     Primary Health Care payment reform in Estonia: Triin Habicht, WHO Regional Office for Europe

2.     China: Using provider payments to incentivise coordinated and integrated delivery: the case of China, Winnie Yip, Harvard TH Chan School of Public Health

 

Session 3: Fragmentation: The Achilles Heel of Strategic Purchasing?

Objective: analyse and illustrate how fragmentation in purchasing arrangements influences the potential of strategic purchasing to drive system change, and how some countries have responded to this challenge

Overview and session moderator: Kara Hanson, London School of Hygiene and Tropical Medicine

Speakers/papers:

1.     Consequences of multiple payment flows in Kenya: Rahab Mbau, KEMRI-Wellcome Trust

2.     Consequences of different provider payment methods and rates in FONASA and ISAPREs of Chile for system equity and efficiency: Camilo Cid, PAHO

 

Session 4: Governance of Strategic Purchasing: Accountable to Whom and for What

Objective: identify/propose the key attributes of governance that enable purchasing to be more strategic, incorporating issues such as representation, public accountability, and the balance between autonomy and control.

Session leader/moderator: Loraine Hawkins

1.     Quasi government: The experience of Thailand, Somsak Chunharas, President of the National Health Foundation and former Deputy Minister of Health for Thailand.

2.     Governance of purchasing arrangements in Egypt’s health reform: Ahmed Khalifa, WHO (Egypt)

 

Session 5: Summary: Global Lessons and challenges in the use of strategic purchasing to drive progress towards UHC

Joseph Kutzin, WHO


Session 6: iHEA Special Interest Group on Financing for Universal Health Coverage in Low and Middle Income Countries

Virginia Wiseman, London School of Hygiene and Tropical Medicine and Kirby Institute, University of New South Wales

Short update from Virginia Wiseman, on the Special Interest Group and plans to strengthen capacity and engagement on relevant issues among iHEA members. 


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Pre-Congress Program Overview Program
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