The Purchaser Provider Split and the Public Sector

The public sector has a vital role in delivering healthcare services in India. Resources need to be allocated efficiently and in a manner that is responsive to the needs of the people. Unlike the current detailed line-by-line budget-based approaches, which are focused on tightly controlling the supply of inputs, this webinar aimed to discuss a reform option that seeks to combine a higher degree of trust and autonomy offered to health facilities with greater accountability for outcomes, the “purchaser-provider split.” Indian states that choose to pursue this reform could form multiple Integrated Delivery Systems (IDS) offering primary care and secondary care to defined populations, with each IDS being paid by an independent state-level purchaser through reformed payment methods. Experts explored this reform, the global evidence of its impact, and whether it is desirable and feasible in the context of different Indian states.
The webinar on “The Purchaser-Provider Split and The Public Sector” was organized jointly by The Lakshmi Mittal and Family South Asia Institute at Harvard University and Lancet Citizens’ Commission on Reimagining India’s Health System, on Thursday, November 14, 2024, online on Zoom.
Moderator:
Nachiket Mor, Visiting Scientist, The Banyan Academy of Leadership in Mental Health; Commissioner, Lancet Citizens’ Commission on Reimagining India’s Health System
Speakers:
• Rifat Atun, Professor of Global Health Systems, Harvard T.H. Chan School of Public Health
• Jack Langenbrunner, Senior Associate, Aceso Global
• Inke Mathauer, Senior Health Financing Specialist, World Health Organization
• Shankar Prinja, Professor of Health Economics, Post Graduate Institute of Medical Education and Research, Chandigarh
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The Lakshmi Mittal and Family South Asia Institute at Harvard University (The Mittal Institute) engages in interdisciplinary research to advance and deepen the understanding of critical issues relevant to South Asia and its relationship with the world.
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