A critical step in achieving universal health care: Improving public-private interactions to deliver health services

Our evaluation found that only a small fraction of evaluated hospitals and specialty chains attracted public financing.  Most of them continued to rely primarily on private insurance and out-of-pocket payments by private patients, which are not affordable for all.

The private sector plays a role in most health systems. Although the public sector covers a defined set of health services, the private sector (including the nonprofit sector) in many countries offers additional health services beyond those that are publicly funded.