Showing 1–10 of 10 items
Description: A concise overview of the explicit scope, development process, decision-making criteria, case studies, and budgeting model for Thailand's Universal Coverage Scheme (UCS) benefits package.
How private hospitals and clinics take part in universal coverage — as network providers paid by capitation, emergency care, specialized services like cataract and dialysis, prevention, and seats in NHSO governance.
How Thailand manages cancer under universal coverage — the benefits and payment method at every stage from vaccination and screening to chemotherapy, palliative care at home, quality control, and the data gaps still to close.
Community-based long-term care for dependent older people — why an aging Thailand needs it, the four dependency groups and their benefits, who runs it locally, and the caregiver problems still unresolved.
How service units and beneficiaries get registered under universal coverage — the criteria providers must meet, the two ways people register, coverage for monks, prisoners and the disabled, and how to change your CUP.
How NHSO audits the claims it pays — the evolution from on-site coding audits to the electronic eMA system, sampling and appeal rules, and the colour grading that pushed hospital performance up.
How NHSO pays healthcare providers — capitation, DRG and fee-schedule methods by service type, the 43-file data set behind every claim, the e-Claim system, submission deadlines, and the appeal route.
How the UCS protects people's rights — the independent complaint units under Article 50(5), the 1330 call center, what people complain about most, and how those cases get resolved.
An NHSO overview presentation on how Thailand reached universal coverage — the four strategies, the three insurance schemes, UCS governing bodies, and how benefits, budgeting, and audit fit together.
People's participation as the heart of universal coverage — from the 60,000 signatures behind the 2002 Act to civil society seats on the boards, annual public hearings, and community-level rights and health funds.
