Governance is a critical building block of the health system, with the overarching function of ensuring that strategic policy frameworks exist and are combined with intelligence and oversight, collaboration and coalition-building, regulation, system design and accountability. This report aims to describe the challenges faced in the health financing system related to reviewing and decision-making for the Program of Medical Guarantees (PMG), and seeks to provide tangible short- and medium-term actions to take towards strengthening the governance of the PMG. These include (1) establishing a PMG Governance Board; (2) unbundling the PMG into clear processes linked to the budget, financing mechanisms, benefits and specifications of the PMG; and (3) defining the key decision responsibilities and deadlines in the annual PMG cycle, codified in regulations.
Authors
- Citation
- World Health Organization. Regional Office for Europe . (2024). Strengthening the Program of Medical Guarantees in Ukraine: options for improved processes, transparency and accountability. World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/379534 . License: CC BY-NC-SA 3.0 IGO
- GOVDOC
- WHO/EURO:2024-10840-50612-76545 (print)
- Pages
- 67
- Published in
- Switzerland
- Rights
- CC BY-NC-SA 3.0 IGO
- Rights Holder
- World Health Organization
- Rights URI
- https://creativecommons.org/licenses/by-nc-sa/3.0/igo
Table of Contents
- Strengthening the Program of the Medical Guarantees in Ukraine 1
- Strengthening the Program of the Medical Guarantees in Ukraine 2
- Contents 4
- Acknowledgements 5
- Abbreviations 6
- Executive summary 7
- 1. Introduction 11
- Box 1. International experience of good governance practices for the purchaser agency 16
- Box 2. International definitions of sound governance 18
- 2. Establishing a PMG Governance Board 20
- Box 3. Examples of governance arrangements for health benefits review processes in Estonia and Lithuania 20
- 3. Developing a well- coordinated well-governed annual PMG preparation cycle 26
- Box 4. Best practices in laws and regulations on review of benefits packages provider payment methods and tariffs 27
- Box 5. EHIF budget cycle in Estonia 33
- Box 6. Benefits package design in Lithuania and Estonia 35
- Box 7. Regulating tariffs and payment methods in Estonia and Lithuania 37
- Box 8. Process of contracting health service providers in Lithuania 39
- 4. Complementary internal actions for the NHSU to support the revised PMG cycle 46
- 5. Next steps revising regulations and institutionalizing the new cycle to strengthen governance 48
- 6. References 50
- Annex 1. Proposed draft regulation for the PMG Governance Board 54
- Annex 2. Outline of the standard operating procedure for managing the review and governance of the Program of Medical Guarantees 62
