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Models of Insurance Innovation to support UHC

ACTIVE YEARS
2020-2021
Southeast Asia

Collaborators

DONORS
Pfizer
PARTNERS
Pfizer

Innovative Insurance Models for Universal Health Coverage

This project focused on identifying and developing innovative insurance models to support UHC in India, Indonesia, Malaysia, Thailand, and Vietnam, emphasizing private health insurance’s role in sustaining UHC.

Resources: https://healthfutures.sg/wp-content/uploads/2022/03/Strengthening-UHC-in-Asia-Opportunities-for-Innovation-in-PHI-1.pdf

Program Objectives

Driving Universal Health Coverage through innovative financing models, strategic partnerships, and collaborative workshops.

Develop a white paper on innovative financing and insurance models for UHC.

Build partnerships across stakeholders to support UHC through private health insurance.

Lead co-creation workshops on healthcare financing, pharmaceutical economics and policy, government relations and innovative financing models and their applications.

Workstreams

Themes

Public Health Focus Areas

Key Methodology

Rapid Assessment of Insurance Ecosystems

The study involved a rapid assessment of current policies and innovative financing mechanisms, supported by global case studies and primary research.

Key Findings

Challenges

  1. Balancing Act: Achieving UHC requires a delicate balance between access, coverage, and cost.
  2. Fiscal Commitment: Sustaining UHC necessitates ongoing fiscal commitments.
  3. Noncommunicable Disease Burden: The growing burden of noncommunicable diseases poses a significant threat to UHC progress.

Role of Private Health Insurance

  1. Important Mechanism: Private health insurance (PHI) can play a vital role in supporting UHC in low- and middle-income countries.
  2. Innovation and Enabling Policies: Creating an insurance innovation ecosystem through enabling policies is crucial for maximizing PHI’s potential.

Insurance Innovation Models

Seven Models: The research identified seven distinct insurance innovation models that can contribute to UHC in ASEAN:

  1. Sustaining National UHC Schemes: Supporting existing national health insurance programs.
  2. Addressing Noncommunicable Diseases: Addressing the significant burden of noncommunicable diseases.
  3. Reinforcing Disease Prevention and Wellness Strategies: Promoting preventive care and wellness initiatives.

Program Related Resources

Models of Insurance Innovation to support UHC

Program Gallery