General TaxationTax Financing, General Revenue Funding
Government revenue from broad-based taxes deposited into a general fund available for allocation across any priority, including healthcare.
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
Global BudgetAggregate Budget Ceiling, Aggregate Funding Envelope
A predetermined total funding amount allocated to a programme, sector, or provider for a defined period, within which spending decisions are made.
Health InsuranceMedical Insurance, Health Coverage
Health insurance is a financing arrangement that pools prepaid contributions and covers specified healthcare costs when insured members need care, thereby sharing financial risk across the insured population.
Health System FinancingHealth Financing, Healthcare Financing
Health system financing comprises the arrangements through which money for health is raised, pooled and used to purchase services in pursuit of access, equity, financial protection and efficiency.
Impoverishing Health ExpenditureImpoverishing Out-of-Pocket Spending, Poverty-Inducing Health Cost
Out-of-pocket healthcare spending that pushes household income or consumption below an established poverty line, or further below it.
Moral HazardHidden Action, Post-Contract Opportunism
Moral hazard occurs when protection from the consequences of an action changes a person’s behaviour because some resulting costs or risks are borne by another party.
Out-of-Pocket PaymentOOP Payment, Direct Patient Payment
A general term for healthcare spending paid directly by a patient, rather than through insurance, covering cost-sharing and uncovered services.
Pay-for-PerformanceP4P, Performance-Related Pay
A methodology linking a portion of provider reimbursement directly to measured performance on quality, efficiency, or outcome metrics, rather than volume alone.