PMC

Before the new healthcare policy, medical institutions charged higher fees for non-payment procedures to compensate for the losses from the payments for procedures because of their low-cost compensation rate. After the new healthcare policy, the fee for payment procedures will be increased, and the ratio of non-payment procedures will be decreased by the expansion of the NHI coverage.
NHI = National Health Insurance

Beneficiaries Given Reasons for Non-Payment

Flow chart of the overall HOPE study design. Screening for multiple submissions was ongoing during the study. Many were identified prior to activation and routed to non-payment group. If a multiple submission was identified after activation, the account was locked with a request to contact the project. Data used for this manuscript represents a post hoc analysis of all 1,900 participants who completed the screening, consent, and identifying information page

Consequences of the high cost of obstetric and newborn care on households. Graph showing what happens when the cost of obstetric and neonatal care is high (First framed with red background, black writing): Either households develop impoverishing coping strategies to pay for care (Black box, blue writings); or that mothers and their newborns are detained at the place of care because of non-payment for care (Second framed with red background, black writing). This detention is increasingly impoverishing and has consequences both for health facilities (Green box, dark red writings) and for households (Blue box, clear red writings)