Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns. Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do...

The East Asia and Pacific region is characterized by wide variations in sources of healthcare financing, pooling of funds, purchasing of care services, and the extent to which these policy instruments and programs provide social protection. Existing healthcare financing systems in the region are under increasing pressure from a continued prevalence of communicable diseases, an emergence of non communicable diseases, and a rapidly aging population. Large inequalities between the poor and the prosperous in their access to healthcare financing mechanisms can be reformed and strengthened to...