Subject: [hftn] New WHO HEF Guidance Document: Q&A Guide on DRGs and case-based classification and payment systems
From: Inke MATHAUER via EZcollab <mtwpm14j=y2j03dq3=kgoginashvili=[email-masked]>
To: "WHO Health Financing Technical Network (HFTN Main Community)" <[email-masked]>
Date: Wed, 19 Aug 2020 08:39:02 +0000

Dear all,

we are pleased to share with you the link to a WHO Health Financing Guidance Document, just published: 
“Diagnosis-related groups: A question and answer guide on case-based classification and payment systems”

https://www.who.int/publications/i/item/diagnosis-related-groups-(drg)-a-question-answer-guide-on-case-based-classification-and-payment-systems

The guide explores key policy questions related to the preparations, design and implementation of case-based classification and payment systems, with a particular focus on diagnosis-related groups (DRGs).

Best wishes,

WHO Health Financing Team

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Summary:
More and more low- and middle-income countries are seeking to strengthen strategic purchasing arrangements in the health sector. Related thereto, payments based on case-based groups (CBG) or, more specifically, diagnosis-related groups (DRG) have gained increased interest from policy-makers across the globe. When considering the introduction of a CBG system, many policy choices and technical questions arise. Policy-makers have to judge the pros and cons of a CBG system in relation to their country context and the health system challenges they wish to address. It needs to be explored whether and, if so, how to introduce a CBG system, which institutional arrangements and resources are available and which would be required to do so. 
The purpose of this guide is to explore specifically the CBG-related policy questions and issues relevant to the context of low- and middle-income countries.  The guide is written in a Question & Answer (Q&A) format and covers the design, implementation and monitoring phase. The document also includes country cases to illustrate specific issues.

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