Table 2 DCE insurance payment attributes and levels
Number | Payment element | Level | Payment modality |
|---|---|---|---|
1 | Level of capitation payment per individual | A | 500 FCFA per child (under 15 years of age) and 1500 FCFA per adult (current level) |
B | 500 FCFA per child (under 15 years of age) and 1500 FCFA per adult. Children will continue to pay 500 FCFA, while a 1000 FCFA subsidy (financed by an external fourth party) will be added for payment to facilities for each child enrolled | ||
2 | Capitation payment schedule | A | Payment one time per year (current schedule) |
B | Payment twice per year (each April and July) | ||
C | Payment four times per year (each quarter) | ||
3 | Annual allocation of medical supplies/equipment by CBI scheme | A | None (current allocation) |
B | Basic medical supplies (cotton, alcohol, Bétadine, Sparadrap) | ||
C | Basic medical supplies (cotton, alcohol, Bétadine, Sparadrap) and medical equipment (tension meter, stethoscope, thermometer, scale, height gauge) | ||
4 | Reimbursement of service fees (consultation + medical acts), financed by an external fourth party | A | None (current reimbursement) |
B | Reimbursement at 50% the price of service fees paid by non-enrollees | ||
C | Reimbursement at 100% the price of service fees paid by non-enrollees | ||
5 | Results-based financing (RBF) – indicator to determine size of payment | A | By individual enrolled (500 FCFA for new enrollees and 250 FCFA for re-enrollees) |
B | By household enrolled (2000 FCFA for newly enrolled households and 1000 FCFA for households who renew their membership) | ||
C | A monetary award for the three best health facilities, based on the increase in CBI coverage between the previous and the current year | ||
6 | Results-based financing (RBF) – recipient. | A | Individual health agents (distribution of RBF among different team members will be pre-determined and applied district-wide) |
B | Global payment for health worker team (method of RBF distribution among different team members will be decided by the facility team members) | ||
C | Local health facility management committee will decide on method of RBF distribution among health workers and facility needs |