Photo credit: Joint Learning Network/Kyle Beaulieu

What We Do

In recent years, the global public health community has sharpened the focus of its attention and resources on the objective of achieving universal health coverage (UHC). UHC policies often focus on mobilizing resources to increase population coverage with basic health services. However, as coverage expands in these countries issues of financial sustainability, efficiency, and quality of care quickly rise to the surface. Through developing robust provider payment systems, countries can take significant steps towards improving the quality of care, the prevention of fraud, and effective cost management.

Costing Collaborative Core Working Group

Members of the Provider Payment Mechanisms technical initiative united around the common struggle to perform costing studies for provider payment in a data-constrained environment by creating the Core Working Group (CWG). Building on member experience, collaborative members developed Costing of Health Services for Provider Payment: A Practical Manual to fill the gap in practical guidance for collecting and using costing information for the purpose of informing provider payment policy and calculating provider payment rates.

The CWG is a unique, powerful collaboration of costing experts from JLN member countries and other countries that have struggled, or are currently struggling, with major health services costing exercises in settings with enormous data challenges. Members built the manual from real experiences, real challenges, and real spreadsheets. Working together virtually and in-person, CWG members are combining their varied experiences to guide policymakers and researchers in other countries who are embarking upon costing initiatives for provider payment reform. They are also learning from each other in the process and building the foundation to serve as a resource of costing expertise for other countries to draw on in the future.

Costing Train the Trainer

Ths workshop was designed to increase literacy among Joint Learning Network member countries around costing of healthcare services for provider payments. Building on the Costing Manual, the workshop was also designed to enable participants to return to their country contexts and spread the knowledge they have gained. By the end of the workshop, participants were able to design a costing study and were ready to train others in their home countries. The train the trainer workshop is a pioneering step toward adopting a scientific approach to costing studies across countries and spreading this methodology as far and wide as possible. Click here to access Train the Trainer course materials.

Technical Facilitators

Cheryl Cashin

Managing Director, Results for Development; Provider-Payment Mechanisms initiative

Danielle Bloom

Senior Program Officer; Results for Development; Health Finance initiative


Taiwan’s Global Budget System: A Pillar of Success?

Hosted by Taiwan and the PPM Technical Initiative, this webinar featured an overview of the Taiwanese model followed by an open discussion where other countries shared their experiences.

Co-Produced Resources

Costing of Health Services for Provider Payment: A Practical Manual

This is the first costing-specific resource that bridges costing theory — what you should do — with practical, step by step guidance on what you can do to address multiple challenges related to costing for provider payment in low and middle income countries.

Costing Manual: Tools and Templates

These tools and templates are based on the day-to-day experiences of a network of practitioners and can be adapted to a variety of contexts due to the unique, collaborative approach used in their design.

Assessing Health Care Provider Payment Systems: A Practical Guide for Countries Moving Toward Universal Health Coverage

This guide is intended to support country-led participatory processes to systematically answer questions within the country context about the design and implementation arrangements for individual provider payment systems and how they work together.

Assessing Health Provider Payment Systems: Analytical Team Workbook

It contains a set of sample data tables and interview tools to be adapted and used by the Analytical Team to assemble key background data and information, conduct interviews, and carry out the main analytical tasks for the assessment exercise.

Costing of Commune Health Station Visits for Provider Payment Reform in Vietnam

This paper aims to estimate the unit costs of primary care visits at commune health stations (CHS) in selected areas in Vietnam. Expanding effective coverage in Vietnam will require better use of available resources and placing higher priority on primary care.

Assessment of Systems for Paying Health Care Providers in Mongolia

This assessment was conducted to help inform the design and implementation of Mongolia’s provider payment system. discusses the positive aspects and shortcomings of the current mix of payment systems and compares the design and implementation with international good practices.

A Simple Simulation Model as a Tool to Assess Alternative Health Care Provider Payment Reform

Vietnam is currently considering a revision of its 2008 Health Insurance Law, including the regulation of provider payment methods. This study uses a simple spreadsheet-based, micro-simulation model to analyse the potential impacts of different provider payment reform scenarios on resource allocation across health care providers in three provinces in Vietnam

Assessment of systems for paying health care providers in Vietnam

Provider payment arrangements are currently a key lever for expanding effective coverage. This study describes how different provider payment systems are designed and implemented in practice across a sample of provinces and districts in Vietnam.

Contact Us

The technical facilitation team looks forward to your suggestions!

Please send any comments, ideas, and questions to Surabhi Bhatt,