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Although the Casemix system has been in existence for more than three decades, the deployment of this system in developing countries is very erratic. A call by international donors to enhance the efficiency of existing social insurance schemes by introducing the prospective payment method has prompted many developing countries to use the Casemix system. Unfortunately, the lack of a low-cost, reliable and customizable Casemix grouper, based on an open source, is a major obstacle to the adoption of the Casemix system in these developing countries.

The UNU-CBGs: development and deployment of a real international open source Casemix grouper for resource challenged countries