Health financing is one of the building blocks of health systems and digital health technologies are changing the way it operates. The functions of health financing are typically are typically characterised as revenue raising (sources of funds, including government budgets, compulsory or voluntary prepaid insurance schemes, direct out-of-pocket payments by users, and external aid), pooling of funds (the accumulation of prepaid funds on behalf of some or all of the population), and purchasing of services (the payment or allocation of resources to health service providers).
Digital technologies can change the nature of business processes and interactions between actors. They offer efficiencies to streamline processes and reduce fraud, increase revenue collections through mobile wallet applications, for example and can potentially enhance equity by extending access to care through telehealth, for example, if covered by public insurance schemes. Strategic purchasing can utilise health technology assessment (HTA) and availability of data can enable evidence informed decisions. At the individual level, digital technologies for health allows households to better manage their money using technologies. However, there are also risks such as potentially increasing inequities, requirements for large up-front investments, and potential fragmentation. Further data security and interoperability of systems are key concerns. These challenges require innovative solutions that can pave the way for use of digital health technologies for health financing and ensure that financing for health can be sustainable, adequate, fair and efficient.
The key issues will revolve around application of digital health technologies across the functions of health financing (collection, pooling and purchasing). These are:
The overarching objective is to identify how digital health technologies can enhance the effectiveness and sustainability of health financing.
Expected outcomes
Akihito Watabe
Inke Mathauer
Mark Jit
Tiranee Achalakul