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Table 4 Summary characteristics of the financing schemes

From: Examining healthcare purchasing arrangements for strategic purchasing in Nigeria: a case study of the Imo state healthcare system

Indicator/purchasing function Imo SMOH IMSHIA
Model Supplier side Partner–agent model
Sources of revenue Government budget 100%: tax revenue and other sources Prepayment scheme (premium payment), BHCPF, equity funds, government subventions
Target population Total population Imo state citizens/residents who pay the appropriate premium and meet criteria for enrolment
Total expenditure per beneficiary per year ₦31 966 (US$ 104.5) 2017 Not available yet
Requirement for entitlement Registration card as citizen, OOP (1) Payment of monthly ₦1000 premium
(2) Employees of public and organized private sector
(3) Employees of informal sector
(4) Indigents and vulnerable persons
Coverage Not established 1.8%, representing proportion of Imo state population covered to date (2019)
Premium rate Not determined ₦12 000 per annum full benefit
Benefit packages Minimum packages of preventive, curative and promotive care services Minimum package of preventive, curative and promotive care services
Purchasing agency SMOH (SHMB, SPHCDA) IMSHIA/No third-party administrator
Health service providers Public providers Public and private providers
Provider payment mechanism Salary, line-item budget Capitation (primary care), FFS (secondary and tertiary care)
Budget execution State and local government levels The agency
  1. SMOH State Ministry of Health, IMSHIA Imo State Health Insurance Agency, BHCPF Basic Health Care Provision Fund, OOP out-of-pocket, SHMB State Hospital Management Board, SPHCDA State Primary Health Care Development Agency, FFS fee-for-service