State budget transfers to Health Insurance Funds for universal health coverage: institutional design patterns and challenges of covering those outside the formal sector in Eastern European high-income countries

International Journal for Equity in Health
Ileana Vilcu, Inke Mathauer

Abstract

Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in this paper managed to avoid this potential pitfall by using state budget revenues to explicitly pay health insurance contributions on behalf of certain (vulnerable) population groups who have difficulties to pay these contributions themselves. The institutional design aspects of their government revenue transfer arrangements are analysed, as well as their impact on universal health coverage progress. This regional study is based on literature review and review of databases for the performance assessment. The analytical framework focuses on the following institutional design features: rules on eligibility for contribution exemption, financing and pooling arrangements, and purchasing arrangements and benefit package design. More commonalities than differences can be identified across countries: a broad range of groups eligible for exemption from payment of health insurance contributions, full state contributions on behalf of the ...Continue Reading

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Citations

May 19, 2017·The New Bioethics : a Multidisciplinary Journal of Biotechnology and the Body·Muir GrayViktor Dombrádi
Dec 28, 2019·The Health Care Manager·Samereh YaghoubianMohammad Ali Jahani
Nov 9, 2016·Diseases of the Colon and Rectum·Meghan C DalyIan M Paquette
Jun 6, 2020·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Benjamin Capps
Jul 30, 2020·The International Journal of Health Planning and Management·Federico Toth
Dec 23, 2019·International Journal for Equity in Health·Inke MathauerJoe Kutzin

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