of equitable access by all, dialysis solution was delivered to
health centres, for patient home dialysis result in minimum
travelling cost. A full account of discussion on the outcomes of
the peritoneal dialysis-first policy was reported (Tantivess et al.
2013). Table 3 lists disease conditions that were singled out
from closed end payment and paid on an agreed fee schedule.
Number of cases and unit costs were used to estimate total
budget requirement and approval in a transparent way.
Managing contracts: provider network as a gate keeper
When OP services were paid on a capitation basis, beneficiaries
were required to register with a preferred provider network;
typically, a DHS in their domicile district. When the beneficiary
database was fully computerized a few years later, beneficiaries
were allowed, four times a year, to register with another
provider network they preferred especially among seasonal
migrant workers such as taxi drivers and factory workers.
Regular updates of electronic registries (birth, deaths, transfer
across schemes and re-registrations) to all provider networks
nationwide facilitate effective payment of capitation by NHSO.