Health Financing & Insurance

Terms for how health systems raise and pool funds, insure populations and pay providers.

  • Topic: Health Financing & Insurance
  • 39 terms
  • Editor reviewed

3 terms

Revenue CollectionRevenue Mobilisation, Domestic Resource Mobilisation

The process by which a health system raises financial resources, through mechanisms such as general taxation, social insurance, and private premiums.

Risk AdjustmentRisk-Adjusted Payment, Morbidity Adjustment

Risk adjustment makes outcomes, costs, utilisation or payments more comparable by accounting for differences in characteristics that affect expected results but are not the focus of the comparison.

Risk PoolingFund Pooling, Financial Pooling

Risk pooling is the accumulation and management of prepaid health funds for a defined population so that the financial consequences of health-care need are shared across members rather than borne solely by each person when illness occurs.