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Contents
Inequality in Government Spending Challenges and Reforms—Creating a Path Forward
30
Chapter 3
The Rural Health Reforms of the 2000s The New Rural Cooperative Medical Scheme Medical Assistance Public Health Provider Payment Reform Other Reforms in Service Delivery Sizing Up the Recent Reforms Annex: Impact Evaluation of NRCMS
33 34 38 42 49 52 56 57
Chapter 4
Looking Toward a New Decade: The Big Picture Health Systems—Goals, Functions, and Actors Evolving Ideas and International Best Practice Reform over the Medium Term Reform over the Longer Term
61 62 64 72 78
Chapter 5
Financing Rural Insurance Coverage More Resources for NRCMS Converting NRCMS into a “Purchaser” What Should Be Covered? Strengthening Management and Governance Priorities and Sequencing
81 82 96 98 107 111
Chapter 6
Improving Service Delivery: A Question of Incentives Changing Provider Incentives Enabling Providers to Respond to New Incentives Reform Priorities, Sequencing, and Capacity
115 116 133 143
Chapter 7
Enhancing Accountability and Incentives in Public Health The Misalignment of Incentives and Accountability Geographic Disparities in Spending Roles and Responsibilities across Levels of Government Clarifying Responsibilities and Financial Incentives at the County Level
29
147 151 153 160 171