Improving Health System Quality in Low- and Middle-Income Countries That Are Expanding Health Coverage: A Framework for Insurance | IHI

Low- and middle-income countries are increasingly pursuing health financing reforms aimed at achieving universal health coverage. As these countries rapidly expand access to care, overburdened health systems may fail to deliver high-quality care, resulting in poor health outcomes. Public insurers responsible for financing coverage expansions have the financial leverage to influence the quality of care and can benefit from guidance to execute a cohesive health-care quality strategy.

The framework presented in this article is a resource for public insurers that are responsible for rapidly expanding access to care, and it bridges the gap between broad frameworks for strategy design for system improvement and narrower discussions of technical methods by which payers directly influence the quality.

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