Global Trend

Globally, there is a trend towards planning for healthcare in a predictable manner through prepayment and participation in health insurance pools with managed care as the mode of healthcare delivery.
This is done through entities like United Healthcare called Health Maintenance Organizations (HMOs) that are commonly employed to:
1. Provide affordable and efficient health services
2. Improve quality of healthcare
3. Increase access to healthcare, and finally
4. Advance the health of enrolled populations, employee groups, communities, states and countries

This adoption of managed care mechanisms, techniques, tools and use of insuring entities like HMOs goes with the trend toward decentralization of the health financing function of the health system. Many countries are abandoning centralized, government financed, government-owned health delivery systems and instead opting for a Public Private Partnership as the financing agent and the delivery system. The National Health Insurance Scheme is a public-private partnership solution. It is private sector driven and public sector regulated; an ideal model for PPP.