Subject: Fwd: [EXT] Re: Georgia FP report: disaggregated analysis for catastrophic spending
From: Ketevan Goginashvili </O=EXCHORGANIZATION/OU=EXCHANGE ADMINISTRATIVE GROUP (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=F1D7F6D1D9384748B751E919E3623665-KETEVAN>
To: Ketevan Goginashvili <[email-masked]>
Date: Thu, 18 Jun 2020 01:27:11 +0000

Sent from my iPhone

Begin forwarded message:

From: "HABICHT, Triin"
Date: June 11, 2020 at 16:55:48 GMT+4
To: Ketevan Goginashvili , "[email-masked]"
Subject: RE:  [EXT] Re: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Keti and Mamuka,

Thanks a million for finding time for a call. It was so nice to meet you and it was very helpful for me.

Keti, here are 3 tables as agreed (see below). Let me know if something is unclear or it would be easier to provide data in some other format. I also attach
the file with figures and Fig d is made based on the NHA 2017 data tables. It would be great if you could have a look if it looks correct.

Many thanks again!

Best

Triin

Table 1: UHC Program beneficiaries:

Population group

Population

Target group

Age group: Pensioners, children aged 0-5 years, students, people registered as disabled

Veterans

Low-income households (70,000-10,000 points) and children aged 6-18 years

Income groups: other individuals below pension age but scoring over 10,000 points on the social assistance scale

Monthly income under 1000 GEL (417 US$)

Annual income under 40,000 GEL (16,667 US$) and monthly income over 1000 GEL (417 US$)

Annual income over 40,000 GEL

Not covered by UHCP

Total population

Table 2: People covered with private insurance:

Population

Total population covered with private insurance

Population with private insurance who are also beneficiaries of the UHC Program

Table3: Total inflation and medical inflation

2013

2014

2015

2016

2017

2018

Total inflation (%)

2.4

2.0

4.9

1.8

6.7

1.5

Medical inflation (%)

1.5

6.7

10.5

2.1

8.1

2.9

Outpatient care

Inpatient care

Medicines

From: Ketevan Goginashvili

Sent: Monday, June 8, 2020 1:03 PM

To: HABICHT, Triin ; [email-masked]

Subject: RE: [EXT] Re: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Triin,

I hope you are doing well.
Thursday or Friday afternoon is convenient for me.

With best regards, Keti

From: HABICHT, Triin [mailto:[email-masked]]

Sent: 5 June, 2020 17:02

To: Ketevan Goginashvili <[email-masked]>;
[email-masked]

Subject: RE: [EXT] Re: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Keti and Mamuka,

Hope you’re doing well!

As Sarah indicated in her email, I’m currently reviewing the report and it would be great if we could have a call next week to discuss some questions and also potential policy messages. Would next Thursday or Friday afternoon work for you?

Have a good weekend,

Triin

From: Ketevan Goginashvili <[email-masked]>

Sent: Thursday, June 4, 2020 2:08 AM

To: THOMSON, Sarah <[email-masked]>;
[email-masked]

Cc: GARCIA, Jorge Alejandro <[email-masked]>; HABICHT, Triin <[email-masked]>

Subject: [EXT] Re: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Sarah,

Thank you for your support. Mamuka and me will discuss the capabilities of the database and we will get back to you soon.

With best regards, Keti

From: Sarah THOMSON <[email-masked]>

Date: Wednesday, June 3, 2020 at 16:04

To: Ketevan Goginashvili <[email-masked]>, Mamuka Nadareishvili <[email-masked]>

Cc: Jorge GARCIA <[email-masked]>, Triin HABICHT <[email-masked]>

Subject: RE: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Keti and Mamuka

Thanks to you both for updating the analysis to include the 2017 and 2018 data.

In follow up to Jorge’s email, it would be great if we could disaggregate households with catastrophic health spending using socioeconomic factors in addition to household consumption quintiles.

In other countries, we have used:

urban-rural

household structure (eg single person household, household with no children, household with children, household with x children etc)

age / gender of the head of the household

household economic activity or sources of income (eg employed, unemployed, pensioner, social beneficiary etc)

health insurance status (eg with voluntary health insurance or not, type of entitlement to publicly financed health care etc)

You will know what the household budget survey in Georgia permits us to look at.

I also copy Triin, who is currently reviewing the report, in case she has ideas of the types of categories it might be good to capture in Georgia.

When you do the analysis, it is good to produce two types of analysis: a) the breakdown of all households with catastrophic health spending by category and b) the incidence of catastrophic health spending within different categories.

With thanks and best wishes

Sarah

From: GARCIA, Jorge Alejandro

Sent: Wednesday, 3 June 2020 12:36

To: Ketevan Goginashvili <[email-masked]>;
[email-masked]; THOMSON, Sarah <[email-masked]>

Subject: Georgia FP report: disaggregated analysis for catastrophic spending

Dear Ketevan and Mamuka

As commented before, I have been working with Sarah on updating the FP figures for the Georgia country report. I managed to produce new figures (attached) and we were wondering if you could help
us with something:

Would you be able to produce Fig. 21 (in the excel file) to break down the cata households by socioeconomic variables eg urban rural, age structure, any other variable available? This would
really add value to the analysis and the report. See an example of the intended figure in Fig 19 of
this report for Moldova

Do you have the microdata available? which socioeconomic variables for disaggregation would be available?

Thanks in advance for your answer, have a good day

Jorge Alejandro

_________________________________________________________

Jorge Alejandro García Ramírez

Medical Doctor, MSc Health Policy, Planning and Financing

Consultant at the WHO Barcelona Office for Health Systems Strengthening

Barcelona, Spain

Web: http://www.euro.who.int/en/health-topics/Health-systems/health-systems-financing

LinkedIn: https://www.linkedin.com/in/jorgegarciamd