Myanmar Strategic Purchasing Brief Series #5: Continuous Learning and Problem Solving


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This is the fifth in a series of briefs examining practical considerations in the design and implementation of
a strategic purchasing pilot project among private general practitioners (GPs) in Myanmar. This pilot aims to
start developing the important functions of, and provide valuable lessons around, contracting of health
providers and purchasing that will contribute to the broader health financing agenda. More specifically, it is
introducing a blended payment system that mixes capitation payments and performance-based incentives
to reduce households’ out-of-pocket spending and incentivize providers to deliver an essential package of
primary care services.