Building multilevel incentives for a tiered network of private providers
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Building Multilevel Incentives for a Tiered Network of Private Providers. Programs Focused on Rural, Poor & Scale. Gopi Gopalakrishnan, President Prachi Shukla, Country Director. World Health Partners (WHP). A non-profit organization

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Building multilevel incentives for a tiered network of private providers

Building Multilevel Incentives for a Tiered Network of Private Providers

Programs Focused on Rural, Poor & Scale

Gopi Gopalakrishnan, President

Prachi Shukla, Country Director


World health partners whp
World Health Partners (WHP) Private Providers

  • A non-profit organization

  • Draws on Janani program lessons in Bihar for using private sector resources to deliver care to rural poor

  • How to use resources outside the public

  • sector to supplement the public sector


Broad framework
Broad Framework Private Providers

  • Private Sector is the only other option to achieve scale

  • Taking risk is an important factor to enhance stakes

  • Volumes to reduce cost, Value to enforce standards

  • Creation of a premium segment to benchmark

  • Advocacy focused on better regulation


Network structure
Network Structure Private Providers

  • VIDEO SLIDE


Building multilevel incentives for a tiered network of private providers

Incentive Private ProvidersStructure

Sky network = increased patients; increased profits

S p e c i a l i s t s

C e n t r a l

M e d i c a l

F a c i l i t y :

GP + Specialists

Govt. linkages

Referrals from Sky network

Govt. accreditation

Franchised Clinics

RNTCP training

Incentives on consultations

TB incentive

Sale of Skymeds

Govt. linkages

Fee from consultations

Stature, credibility, recognition

TB incentive

Sale of Skymeds

Fee from cell consultations

Stature, credibility, recognition

V i l l a g e s


Sky network incentives
Sky network incentives Private Providers

  • Tangible incentives:

    • Incentives on case identification, adherence and reporting

    • Increased profit due to increased caseloads

    • Reimbursement from Govt. scheme

  • Intangible incentives:

    • Enhanced social status and credibility

    • Govt. recognition

    • Training and communication support


Financial strategy sustaining provider interest
Financial Strategy: Private ProvidersSustaining Provider Interest

Broad Range

of Services generates Adequate Caseloads

  • Franchise designed for ‘Horizontal Programming’

Enforce Standards

MandateDelivery of Services

e.g. Family Planning

Economic Viability