[Subgroup-health] Agenda Cartagena Health Sub-group Meeting
vkalavak at worldbank.org
vkalavak at worldbank.org
Fri Oct 31 21:40:55 CET 2008
Dear,
My apology that I will not be able to join the discussions in Cartagena as I am
preoccupied with some World Bank operations and will be returning to Washington
DC on 5th Nov. Nevertheless I had a chance to go thro' the agenda that Valerie
has prepared which looks quite attractive.
I would also like to echo the concerns expressed by David i.e., looking at the
questions that Valerie has painstakingly pulled together from various feedbacks
it sounds like we have lost track of what we want to achieve. The questions are
all over the place from impact on National Health System, to impacts on provider
payment systems........... I think we need to take a pause and FIRST ADDRESS the
questions that David posed in his email (ref-below) as a starting point. I think
we should FIRST try to increase the number of lives insured under micro health
insurance before even thinking of systemic impacts. Hence, David's FIVE
QUESTIONS (1 to 5) are very pertinent in this regard.
I hope as a group we will be able to address them.
Regards
Vijay
(Embedded image moved to file: pic31690.gif)
Vijayasekar Kalavakonda
Financial Markets for the Social Safety Net
The World Bank Group | International Finance
Corporation
2121 Pennsylvania Avenue, NW Washington, DC
20433, USA
tel: +1 202-458-4624 fax: +1 202-522-7105
email: vkalavak at worldbank.org
rru.worldbank.org | www.ifc.org
"David Dror"
<daviddror at socialre
.org> To
Sent by: "Valérie Schmitt-Diabate"
subgroup-health-bou <schmitt-diabate at ilo.org>
nces at microfinance.l cc
u subgroup-health at microfinance.lu
Subject
Re: [Subgroup-health] Agenda Cartagena
10/31/2008 03:37 PM Health Sub-group Meeting
Dear all,
The list sent by Veronique includes some topics that clearly are assuming all
kinds of assumptions that have never been corroborated by research. Hence, I
think we should be careful in determining what research we wish to do by posing
questions, rather than going directly to the operative phases.
May I request that the following research items be added to the list:
1. What is the incidence of health risks to which the target population
is exposed? Is incidence of these risks different from the incidence in the
populations at large or other comparable groups?
2. What is the unit cost that the target population is exposed to? Is
the cost essentially different from that payable by other segments of the
population?
3. Combining incidence and cost of healthcare, (frequency and severity)
for an estimate of the premium that should be paid, is there a factual basis
to say that the insurable risk of the target population at micro insurance is
different from comparable populations? If so, why? What implications for
low-cost health insurance solutions?
4. Assuming that the poor are willing to join insurance only when they
trust the insurer, what trust building measures should be taken?
5. How can one measure / quantify "value for money" in micro health
insurance?
6. How many reserves should micro health insurance units keep as
guarantee for their solvency?
Thank you, and good deliberations in Cartagena.
David Dror
On Fri, Oct 31, 2008 at 2:27 PM, Valérie Schmitt-Diabate <
schmitt-diabate at ilo.org> wrote:
Dear all
Please find attached a very tentative agenda compiling most of the comments
and proposals that you kindly shared over the past few days.
I will be out of the office as from this evening and traveling over the week
end ; so if you have comments on the tentative agenda please send them
ASAP ... or we will discuss them in Colombia !
I understand that the discussion on the mision statement is not over but
continues through electronic exchanges as suggested by David Dror ; so I
deleted the mision statement discussion from the Agenda.
Thanks for all your input!
Valerie
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Chairman, the Micro Insurance Academy, New Delhi (www.microinsuranceacademy.org)
Hon. Professor of health insurance, Erasmus University Rotterdam
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