Mongolia: Strengthening the Health Insurance System

Sovereign Project | 47007-001 Status: Active

Summary

Latest Project Documents

Consulting Notices See also: CMS

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Procurement Notices See also: Operational Procurement

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Procurement Documents

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Project Name Strengthening the Health Insurance System
Project Number 47007-001
Country Mongolia
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 8466-MON: Strengthening the Health Insurance System
Japan Fund for Poverty Reduction US$ 1.50 million
Strategic Agendas Inclusive economic growth
Drivers of Change Partnerships
Sector / Subsector

Health - Health insurance and subsidized health programs

Gender Equity and Mainstreaming
Description
Project Rationale and Linkage to Country/Regional Strategy
Impact

Project Outcome

Description of Outcome
Progress Toward Outcome
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)

Output 1: Project consultants provide capacity building and coaching in determining cost of services to set realistic reimbursement rates. Pilot cost study conducted in 2015 in 17 public and private hospitals. Study covered selected 10 diseases reimbursed from the SHI Fund. Costing methodology is developed, staff is trained. Study will continue in 2016. Study report is available. In relation to enforcement of the revised HI Law of 2015, the consultants supported HI organization to do costing study of cancer treatment which is included in an expanded insurance benefit package.

Output 2: Quality monitoring tools along with a set of quality indicators and disease checklists were developed and piloted in 12 hospitals.

Consultants are working on development of the Midterm strategy of the HIO and its business plan.

Output 3: TA consultants are supporting the establishment of new National Health Insurance Council and its technical committees. Work on financial governance is taking into account amendments under the revised Health Insurance Law, which have implications on financial sustainability (e.g., substantial expansion of the benefit package). Tools to monitor clients' satisfaction and Grievance Redress Mechanisms were developed and submitted to the National Council.

Social marketing strategy is developed.

Geographical Location Nationwide

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design TA processing was carried out in close consultation with government officials and the donor community, including nongovernment organizations.
During Project Implementation The TA will closely communicate with with insured members, including through regular satisfaction surveys to monitor progress to achieve outcome targets. The governance component of the project will involve key partners to ensure social partners participation in policy development and decision-making on health insurance. A complaints and redress mechanism will be developed for the insured members by 2015.

Business Opportunities

Consulting Services The TA will be implemented over 36 months from 30 November 2013 to 31 October 2016. ADB will recruit a consulting firm using quality-based selection with a simplified technical proposal to provide 29 person-months of international and 56 person-months of national consultants, including experts in social health insurance policy and management, governance, and capacity building. A national health insurance specialist and a national administrative and finance coordinator will be recruited individually to facilitate day-to-day organizational and technical matters, liaise with the executing agency and other stakeholders, and monitor the outputs of the consulting firm. All consultancy services will be recruited in accordance with ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).
Procurement The national health insurance specialist will be responsible for procuring the TA equipment under the supervision of the executing agency in accordance with ADB's Procurement Guidelines (2013, as amended from time to time). The executing agency will retain the equipment upon TA completion.

Responsible Staff

Responsible ADB Officer Altantuya Jigjidsuren
Responsible ADB Department East Asia Department
Responsible ADB Division Mongolia Resident Mission
Executing Agencies
Ministry of Population Development and Social Protection
Government Building-2
United Nations Street-5
Ulaanbaatar-15160,
Ulaanbaatar, Mongolia

Timetable

Concept Clearance 14 Feb 2013
Fact Finding 14 Jan 2013 to 18 Jan 2013
MRM -
Approval -
Last Review Mission -
Last PDS Update 31 Mar 2016

TA 8466-MON

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Sep 2013 13 Dec 2013 13 Dec 2013 31 Oct 2016 30 Apr 2017 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 1,500,000.00 200,000.00 0.00 0.00 0.00 1,700,000.00 25 Sep 2013 769,849.17
Title Document Type Document Date
Strengthening the Health Insurance System Technical Assistance Reports Sep 2013

Safeguard Documents See also: Safeguards

Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.

None currently available.

Evaluation Documents See also: Independent Evaluation

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Related Publications

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