This repository contains literature resources such as reports, scientific articles that you might want to cite in wiki articles. Usually it makes sense to create a page for each resource to avail it to other wiki authors instead of just linking a web-source directly. Partner-organisations keep changing the structure of their repositories which results frequently in broken links on our pages. With a wiki page for each resource, we can repair those links once per resource instead of crawling the whole wiki. In the same sense it also makes sense to store a copy of the resource on the page, if permitted.

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Available Literature Resources

ADB 2021 — The report aims to provide an overview of which digital solutions can support public health insurance operators’ core business processes. Specific examples were given, mainly in LMICs when available, to show how these have been successfully implemented and used to improve operations. However, it was challenging to find these examples as it became apparent that there is very little publicly available documentation presenting the respective products and digital interventions for government-support
Healthy DEvelopments 2020 — The journey towards a sustainable open source solution for health financing
Healthy DEvelopments 2020b — Enabling the seamless exchange of health financing data in a growing number of countries.
Healthy DEvelopments 2021 — Building on existing open source management information systems saves reinventing the digital wheel.
Kapologwe (et al.) (2024) — Scaling up public health interventions in the health systems of resource poor settings come with technical and operational challenges. Little is documented on scaling up complex health financing interventions and their related outcomes, especially the voluntary health insurance schemes. This study aimed to analyse the scale-up steps, successes and challenges of the improved community health fund (iCHF), a voluntary health insurance scheme in Tanzania
OpenHIE 2022 — OpenHIE is a global mission-driven community of practice dedicated to improving the health of the underserved through open and collaborative development and support of country driven, large scale health information sharing architectures. The OpenHIE community supports interoperability by creating a reusable architectural framework that introduces a service-oriented approach which maximally leverages health information standards, enables flexible implementation by country partners, and supports i
PATH 2012 — This report provides a set of practical tools and resources for country decision-makers to employ as they develop national level health insurance information systems. Countries identify their common information technology needs and examine the functional requirements for information systems produced through the application of the collaborative requirements development methodology.
PATH 2021 — Digital Square is committed to supporting adaptable digital health tools that can be used across different countries and contexts. These tools, or global goods, matter because they cut down on fragmentation and duplication,
Paton C (et.al.) 2022 — Objective: To assess the impact of open-source projects on making healthcare systems more resilient, accessible and equitable.
Rawles 2025 — Overview of quantum computing applications specific to health insurance operations, from network optimization to fraud detection.
Schuetze L (et al.), 2023 — Digital interventions for health financing, if implemented at scale, have the potential to improve health system performance by reducing transaction costs and improving data-driven decision-making. However, many interventions never reach sustainability, and evidence on success factors for scale is scarce. The Insurance Management Information System (IMIS) is a digital intervention for health financing, designed to manage an insurance scheme and already implemented on a national scale in Tanzania
Stoermer M (et al.) 2024 — We explored the outcomes and challenges encountered during a 12-year collaborative development endeavor in Tanzania, focused on enhancing the healthcare system. The Health Promotion and System Strengthening (HPSS) project, supported by the Swiss Government and implemented by the Swiss Tropical and Public Health Institute (Swiss TPH) from 2011 to 2023, aimed to strengthen various aspects of Tanzania’s healthcare landscape. This included reforms in health insurance through the improved Community H
WHO, 2023
WHO, 2024a — Artificial intelligence, and machine learning (ML) in particular, have the potential to support health financing functions and thus may contribute to progress towards the UHC objectives, including enhanced efficiency as well as transparency and accountability. When applied within claims management and fraud detection processes, ML could contribute to improved accuracy of classification of insurance claims, earlier detection of problematic claims, a higher fraud detection rate, and a decrease in
WHO, 2025 — This case study focuses on the Indian state of Karnataka and a particular digital technology, the “Online Referral System” (ORS), which came into use in 2022 to support the referral system. This digital tool seeks to overcome the limitations of the previous manual referral process and aims to optimize the patient referral function for health services covered by the state health insurance scheme, the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana Chief Minister’s Arogya Karnataka (AB PM-JAY C
WHO 2024b
World Bank, 2024 — Towards Dynamic Inclusion and Interoperability

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