Resources


Medical Audits in Malaysia

January 29, 2021

Malaysia’s use of the Toolkit to Develop and Strengthen Medical Audit Systems shaped the operations for a new Medical Audit Section responsible for auditing PeKa B40 claims. The SOPs for the unit support identifying and deterring fraud and review of provider perfomance resulting in improved quality of health care screenings. This case study profiles the […]

Costing of Health Services for Provider Payment in Kenya

Kenya’s use of the Costing of Health Services for Provider Payment toolkit produced findings that were used to change county-level reimbursement models to lower costs, increase efficiency and improve financial sustainabilty. This case study profiles the use of Costing of Health Services for Provider Payment in Kenya. In Makueni County, the government has the mandate […]

UHC PHC Self-Assessment in Malaysia

Malaysia’s use of the JLN UHC PHC Self-Assessment produced findings that were used to improve public private partnerships to increase PHC coverage. This case study profiles the use of the Universal Health Coverage Primary Health Care Self-Assessment Tool in Malaysia. Malaysia piloted this self-assessment tool as a cross-sectional study collecting both qualitative and quantitative data […]