The role of digital claims management for Estonia’s health insurance PDF Download

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240066683
Category : Health & Fitness
Languages : en
Pages : 56

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Author: Asian Development Bank
Publisher: Asian Development Bank
ISBN: 9292692542
Category : Computers
Languages : en
Pages : 118

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Book Description
This report explores digital solutions that can support the core business processes of public health insurance operators in Asia and the Pacific. It draws on examples from low- and middle-income countries from the region and beyond to demonstrate how digital solutions have improved health insurance management and administration. To support decision-making on potential investments, the report identifies key success factors for integrating new technologies into public health insurance schemes.

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240076808
Category : Health & Fitness
Languages : en
Pages : 36

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Book Description
Digital health is a rapidly expanding area of interest for both research, policy and practice, and within that area digital technologies (DTs) for health financing receive increasing attention. DTs can change the nature and business processes of health financing functions and tasks and modify the interactions between health financing actors. Depending on their design features and actual implementation as well as broader contextual factors, DTs can affect the health financing tasks and functions (positively or negatively). However, little robust evidence exists on the impact of DTs specifically on health financing and universal health coverage (UHC) objectives. More rigorous evaluations in this area is urgently needed. The aim of this guide is to support the evidence generation on DTs for health financing. The guide provides orientation to analyse a country use case of digital technology and its (positive and negative) effects for health financing, i.e. whether, how and why it contributes to the realization of desirable health financing attributes and UHC intermediate and final objectives or whether, how and in which circumstances it is actually harmful to these.

Author: Disa Lee Choun
Publisher: CRC Press
ISBN: 1000620719
Category : Business & Economics
Languages : en
Pages : 152

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Book Description
Patients with unmet needs will continue to increase as no viable nor adequate treatment exists. Meanwhile, healthcare systems are struggling to cope with the rise of patients with chronic diseases, the ageing population and the increasing cost of drugs. What if there is a faster and less expensive way to provide better care for patients using the right digital solutions and transforming the growing volumes of health data into insights? The increase of digital health has grown exponentially in the last few years. Why is there a slow uptake of these new digital solutions in the healthcare and pharmaceutical industries? One of the key reasons is that patients are often left out of the innovation process. Their data are used without their knowledge, solutions designed for them are developed without their input and healthcare professionals refuse their expertise. This book explores what it means to empower patients in a digital world and how this empowerment will bridge the gap between science, technology and patients. All these components need to co-exist to bring value not only to the patients themselves but to improve the healthcare ecosystem. Patients have taken matters into their own hands. Some are equipped with the latest wearables and applications, engaged in improving their health using data, empowered to make informed decisions and ultimately are experts in their disease(s). They are the e-patients. The other side of the spectrum are patients with minimal digital literacy but equally willing to donate their data for the purpose of research. Finding the right balance when using digital health solutions becomes as critical as the need to develop a disease-specific solution. For the first time, the authors look at healthcare and technologies through the lens of patients and physicians via surveys and interviews in order to understand their perspective on digital health, analyse the benefits for them, explore how they can actively engage in the innovation process, and identify the threats and opportunities the large volumes of data create by digitizing healthcare. Are patients truly ready to know everything about their health? What is the value of their data? How can other stakeholders join the patient empowerment movement? This unique perspective will help us re-design the future of healthcare - an industry in desperate need for a change.

Author: Judy Kuriansky
Publisher: Elsevier
ISBN: 0443185301
Category : Computers
Languages : en
Pages : 1418

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Resilient Health: Leveraging Technology and Social Innovations to Transform Healthcare for COVID-19 Recovery and Beyond presents game-changing and disruptive technological innovations and social applications in health and mental health care around the world for the post-COVID age and beyond, addressing the urgent need for care. In this first-of-its kind comprehensive volume, experts and stakeholders from all sectors - government and the public and private sectors - offer models and frameworks for policy, programming, and financing to transform healthcare, address inequities, close the treatment gap, and “build back better,” especially for under-resourced vulnerable communities globally, to “leave no one behind” and advance development globally. Contributions from world experts cover 8 essential parts: The context and challenges for resilient health systems to shape the future; developments and directions (AI, VR, MR, IVAs and more); an innovations toolbox, also targeted for special populations and settings (women, youth, ageing, migrants, disabled persons, indigenous peoples, in the workplace); the role of stakeholders (governments, the public and private sector); forums and networks; innovative financing; resources, lessons learned and the way forward. Addresses the “hot” topic today in the ever-emerging landscape of disruptive digital healthcare delivery, covering critical issues and solutions in digital health, big data, and artificial intelligence as well as benefits and challenges, and ethical concerns Provides case examples of transformative and radical solutions to urgent health needs, especially in remote low-resource settings as well as in less well-covered regions of Central and South America and MENA (Middle East and North Africa) Positions health innovations at the nexus of the global framework of Universal Health Coverage and of the United Nations Sustainable Developing Goals to achieve SDG3 - good health and well-being –at the intersection with climate action, gender equality, quality education, eradication of poverty and hunger, sustainable cities, environmental protection and others. Serves as an exceptional resource, reference, teaching tool, and guide for all stakeholders including civil society and NGOs, government, think tanks, investors, academia, researchers and practitioners, product developers and all policymakers and programmers involved in planning and delivering healthcare, including an extensive section of resources in the digital health space in various categories like publications, conferences, and collaboratives. Provides examples of, and encourages, multi-stakeholder partnerships essential to re-imagine health systems, delivery and access, and to achieve intended healthcare objectives

Author: Marius R. Busemeyer
Publisher: Oxford University Press
ISBN: 0192664506
Category : Political Science
Languages : en
Pages : 404

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Book Description
This volume explores how digitalization--in different forms--affects the welfare state. Digitalization is likely to have a lasting impact on work, welfare, and the distribution of income. It will radically transform not only social risks in health, education and the labour market, but also the means by which these risks are addressed. The volume studies how digitalization affects policies as well as the underlying power relationship between actors, i.e. the politics of the welfare state. The volume brings together internationally renowned welfare-state scholars to identify - the socio-economic challenges that result from rapid technological change; - the ensuing political conflicts and struggles in the domain of welfare state reform broadly defined; - how these changes challenge and shape existing labour market and welfare state arrangements. Overall, the volume explains the potential and real political and policy responses to these challenges, grasps the contours of future developments, and reflects on whether the current wave of technological change might promote the emergence of a new paradigm of welfare state policy-making. The rapid and accelerating pace of technological change has potentially radical ramifications for the welfare state that demand an engagement with possible future scenarios. The authors therefore adopt a forward-looking perspective. Based on this approach, the volume uniquely offers a theoretically informed empirical basis for social science and public debates about the long-term implications of the digital revolution for the welfare state, covering a broad range of policy areas such as education, pensions, labour market policies, tax policy, and health care.

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240013725
Category : Social Science
Languages : en
Pages : 256

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Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240092927
Category : Medical
Languages : en
Pages : 96

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Since its independence was restored in 1991, Estonia has restructured its public health and health security landscape, and joined the European Union (EU) in 2004. Since this, and despite its relatively small geographical size and population, the country's economic growth and the importance of Estonia and Estonians in the development of the information and communication technology (ICT) sector has been much remarked upon. This has brought about interest in the development and uptake of ICT solutions within the health sector, and considerable upgrades to health provision and infrastructure. Due to Estonia's geographical position, health security will always be of significant interest to the country and much has been achieved in the last 20 years. With this combination of factors, the WHO Joint External Evaluation (JEE) in Estonia was deemed of interest not only to Estonia but also as an example of how a small, now highly developed country can work to improve its health security. A further point of interest is that Estonia has, in general, a widely spaced population with low density; another challenge to providing services which needs to be overcome. During the JEE mission to Estonia, capacities in 19 technical areas were evaluated through a peer-to-peer collaborative process that brought subject matter experts together with members of the external assessment team. The team was composed of representatives from 10 Member States, international organizations or academic institutions, engaged in a week-long series of technical discussions and on-site visits. The primary objective of the assessment was to compile a comprehensive array of evidence, encapsulating evaluations, reviews and other relevant insights. The aim was to equip Estonian authorities with actionable information for improving implementation of the International Health Regulations (IHR) 2005, encompassing cost estimates, high-level commitment and accountability. While the assessment itself can facilitate knowledge exchange and networking, it does not improve health security capacities per se. Therefore, identified priority recommendations should be captured in a National Action Plan for Health Security (NAPHS), which in turn drives translation of priorities into concrete technical activities. The external team acknowledges that many recommendations deal with establishing committees, action plans and strategies, all of which may be crucial steps for capacity development, but nevertheless need to be streamlined given constraints on human resource capacity.

Author: World Intellectual Property Organization
Publisher: WIPO
ISBN:
Category : Law
Languages : en
Pages : 189

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Book Description
Blockchain is one of the frontier technologies significantly affecting the way businesses operate while revolutionizing numerous innovation ecosystems, including the intellectual property (IP) ecosystem. This white paper explores potential applications and opportunities presented by blockchain to the existing IP ecosystems. It also identifies the challenges and issues that should be addressed to determine feasibility and cost-efficiency.

Author: OECD
Publisher: OECD Publishing
ISBN: 9264266410
Category :
Languages : en
Pages : 306

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Countries could potentially spend significantly less on health care with no impact on health system performance, or on health outcomes. This report reviews strategies put in place by countries to limit ineffective spending and waste.