GLOSSARY
CIVIL SERVANT MEDICAL BENEFIT SCHEME (CSMBS)
This refers to the health care benefits for government employees and retirees including their dependents including parents, spouse and not more than three children (less than 20 years old). This scheme is supported by the central budget under the management of the Comptroller General’s  Department of the Ministry of Finance.

SOCIAL SECURITY SCHEME (SSS)
This refers to insurance which covers medical treatment only for the insured (i.e., not including immediate family members). This insurance is designed for employees of a private company or non-governmental entity. The insurance compensates for medical treatment for an accident, illness, disability, death, as well as for the cost of child delivery. It is a tripartite contribution scheme by the employer, employee, and the government, andis under the management of the Social Security Office(SSO), Ministry of Labor.

UNIVERSAL COVERAGE SCHEME (UCS)
This refers to the health insurance for Thai citizens who are not covered by the CSMBS or SHI schemes. UCS provides benefits which include medical care, health promotion and disease prevention and extend to rehabilitation as well. This scheme is managed by the National Health Security Office (NHSO) with central budget funding. The NHSO is the administrator of
the UCS.

GLOSSARY CLOSE-ENDED BUDGET
This refers to the specification of budget earmarked for the spending of health services each year in accordance with stated targets. Using a close-ended budget helps to ensure fiscal sustainability, control costs and avoid escalation of costs by stipulating the method of
disbursement to the various types of service providers. This is also intended to maximize efficiency of disbursements. At present,close-ended budgeting is used for disbursements to compensate for the cost of health services of the NHSO and the SSO.

AGE-ADJUSTED CAPITATION
This refers to the cost of health care as calculated as a lump sum based on the number of the registered population in the catchment areas. These funds are issued for outpatient care. The per capita cost is adjusted to be in line with the age composition, for which various age groups can differ significantly. For example, young children and the elderly have a larger per
capita allocation of budget thanother age groups.

DIAGNOSTIC RELATED GROUPS (DRGS) UNDER GLOBAL BUDGET
This refers to a method of budgeting which the NHSO uses to compensate for health care provider services to in-patients. The costs are calculated by the forecast of the number of services that are calculated as a relative weight adjusted by the length of stay in health services provider (adjusted relative weight: adjRW) and the service cost per adjRW. This uses the financial reporting data of the service unit as a basis for calculation. There are many
factors involved, such as the number of in-patient days, the severity of the disease, etc., and whether the payment within the global budget in order to be consistent with the budget received from the government.