Incentivizing Primary Health Care and Tiered Diagnosis and Treatment Systems through Medical Insurance (ADB-59362-001)

Countries
  • China
Geographic location where the impacts of the investment may be experienced.
Financial Institutions
  • Asian Development Bank (ADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Active
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
U
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Nov 21, 2025
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Sectors
  • Technical Cooperation
The service or industry focus of the investment. A project can have several sectors.
Investment Amount (USD)
$ 0.60 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Bank Documents
Primary Source

Original disclosure @ ADB website

Updated in EWS Mar 23, 2026

Disclosed by Bank Nov 21, 2025

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

According to the bank's website, "the proposed technical assistance (TA) aims to strengthen the national medical insurance system in the People's Republic of China (PRC) to promote the development of primary medical institutions and improve access to health care. The proposed TA will support targeted research on insurance policies and local practices, policy innovation, and knowledge-sharing activities that showcase experiences of PRC focused on strengthening insurance support for primary medical institutions. The proposed TA will: (i) explore the feasibility of innovative payment models for chronic disease management, including capitation for outpatient care; (ii) propose policy recommendations on improving global budget mechanisms for county-level medical consortiums ; (iii) explore the feasibility of preferential payments / financial incentives for frequently occurring diseases with local characteristics to the most suitable primary care institutions; and (iv) study best practices and lessons from selected international and domestic areas on family doctor contracting models. By aligning with the PRC's 14th Five-Year Plan and Health China 2030 strategy, the TA will contribute to building a more equitable, efficient, and resilient healthcare system anchored in strong community-level care".

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

Arora, Dinesh
Sectors Department 3
Human and Social Development Sector Office (SD3-HSD)

Executing Agency: National Health Security Administration


ACCESS TO INFORMATION

You can submit an information request for project information at: https://www.adb.org/forms/request-information-form

ADB has a two-stage appeals process for requesters who believe that ADB has denied their request for information in violation of its Access to Information Policy. You can learn more about filing an appeal at: https://www.adb.org/site/disclosure/appeals

ACCOUNTABILITY MECHANISM OF ADB

The Accountability Mechanism is an independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by an Asian Development Bank-financed project. If you submit a complaint to the Accountability Mechanism, they may investigate to assess whether the Asian Development Bank is following its own policies and procedures for preventing harm to people or the environment. You can learn more about the Accountability Mechanism and how to file a complaint at: http://www.adb.org/site/accountability-mechanism/main.

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