RSBY: delivering health insurance through public-private contracting
Publication date: 3 December 2020
Abstract
Learning outcomes
The central lesson to be learned from studying the case is to understand the challenges and constraints posed by contextual conditions in designing contracts in public–private partnerships (PPP) for financing and delivering health care in emerging economies such as India.
Case overview/synopsis
Perverse incentives, along with contextual conditions, led to extensive opportunistic behaviors among involved agencies, limiting the effectiveness of otherwise highly regarded innovative design of the program.
Complexity academic level
India’s “Rashtriya Swasthya Bima Yojana” or National Health Insurance Program, launched in 2007 provided free health insurance coverage to protect millions of low-income families from getting pushed into poverty due to catastrophic health-care expenditure. The program was implemented through a PPP using standardized contracts between multiple stakeholders from the public and private sector – insurance companies, hospitals, intermediaries, the provincial and federal government.
Supplementary materials
Teaching Notes are available for educators only.
Subject code
CSS: 10 Public Sector Management.
Keywords
Acknowledgements
Disclaimer. This case is written solely for educational purposes and is not intended to represent successful or unsuccessful managerial decision-making. The authors may have disguised names; financial and other recognisable information to protect confidentiality.
Citation
Maurya, D., Srivastava, A.K. and Mukherjee, S. (2020), "RSBY: delivering health insurance through public-private contracting", , Vol. 10 No. 4. https://doi.org/10.1108/EEMCS-05-2020-0136
Publisher
:Emerald Publishing Limited
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