Achieving Universal Health Coverage: Developing the Health Financing System

To ensure universal coverage in countries that have not already done so, it will be necessary to increase the extent of prepayment and reduce the reliance on out-of-pocket payments and user fees. This can be done by developing more extensive and equitable tax-based systems, or social health insurance-based systems or mixes of those. This brief describes key decisions that have to be made during the transition for improving the health financing functions of revenue collection, pooling and purchasing or provision of services.

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