Advancing universal health coverage in the COVID-19 era: an assessment of public health services technical efficiency and applied cost allocation in Cambodia

Table 6 Social health insurance public health facility payment rates and costing study results by facility level and major service category in US$

	HEF Payments	NSSF Payments	[13]	GIZ costing data, 2019	GIZ costing data, 2019 adjusted	Current study	Relative difference
CPA3 Hospital	(1)	(2)	(3)	(4)	(5)	(6)	(7)
Outpatient cases	7.80	7.80	41.53	19.51	13.11	20.15	0.54
Inpatient cases	29.27	40.73	158.21	169.48	113.85	157.32	0.38
Maternity care	19.51	37.80	46.57	39.18	26.32	64.31	1.44
Major Surgery	243.90	243.90	29.79	43.88	29.48	149.90	4.09
Minor Surgery	97.56	48.78	34.04	38.78	26.05	38.26	0.47
CPA2 Hospital
Outpatient cases	3.90	3.90	5.87	7.76	5.21	5.63	0.08
Inpatient cases	24.39	28.78	86.53	100.99	67.84	95.21	0.40
Maternity care	19.51	29.27	27.75	44.93	30.18	54.60	0.81
Major Surgery	78.05	97.56	24.87	87.80	58.98	76.96	0.30
Minor Surgery	48.78	48.78	25.87	31.57	21.21	27.06	0.28
CPA1 Hospital
Outpatient cases	2.44	2.93	9.65	16.17	10.86	8.20	−0.25
Inpatient cases	19.51	31.71	291.45	129.74	87.15	186.88	1.14
Maternity care	19.51	24.39	66.72	51.98	34.92	73.09	1.09
Major Surgery	n. a.	n. a.	n. a.	n. a.	n. a.	n. a.	n. a
Minor Surgery	39.02	24.39	40.39	39.24	26.36	37.45	0.42
Health Center
Outpatient cases	0.98	1.46	3.88	3.74	7.81	6.51	−0.17
Inpatient cases	19.51	19.51	12.46	15.78	32.97	32.98	−0.05
Maternity care	19.51	19.51	107.29	101.09	211.23	344.00	0.63

ISSN: 2191-1991