Policies, implementation challenges, technologies, and models of UHC programs vary from country-to-country. Yet, one challenge all systems face is the need for consistent data exchange. Data and information exchange is fundamental to running a successful healthcare system. Without it, healthcare providers, insurers, government agencies, and other stakeholders are unable to communicate effectively, which can lead to poor customer care, a system that fails to respond to the needs of a nation, and inadequate financial management.
JLN Information Technology Technology track members are working together to determine and document common requirements for information technology systems that support national health insurance information schemes. Members are currently working to (1) determine and document user and system requirements for some core insurance operations (i.e. enrollment, claims management, utilization management), (2) document and disseminate information on common global standards, a glossary and a Health Data Dictionary that can be used as a starting point by countries to develop or refine country-specific health insurance architectures, and (3) create a better understanding of country information technology support needs.
Learn more about the JLN Information Technology track at jointlearningnetwork.org/content/information-technology.