Development of Social Health Insurance in Mongolia
Successes, Challenges and Lessons
Bibliographic Data
| ID | 9971642 |
|---|---|
| Authors | Dorjsuren Bayarsaikhan (0000-0002-9241-7844, World Health Organization Regional Office for the Western Pacific, corresponding author), Soonman Kwon (0000-0002-2236-2163, Seoul National University), Aviva Ron (World Health Organization - Pakistan) |
| Year | 2005 |
| Volume | 58 |
| Issue | 4 |
| Pages | 27-44 |
| Publication date | 2005-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Social Security Review (JOURNAL) |
| Journal identifiers | ISSN: 0020-871X • E-ISSN: 1468-246X |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1468-246x.2005.00224.x |
| OpenAlex | W2013955600 |
| Language | EN |
| Citations received | 11 |
| References cited | 7 |
This paper examines the process of developing social health insurance in Mongolia, and its successes, challenges and lessons. The government of Mongolia introduced social health insurance in 1994, which is compulsory for all public and private sector employees and low‐income and vulnerable population groups. The scheme also provided voluntary insurance for unemployed people of working age. About 95 per cent of the population was covered by health insurance within the first two years thanks to a high level of government subsidy for vulnerable population groups. The insurance benefit initially covered nearly all inpatient services except the treatment of some specified chronic and infectious diseases, which were directly funded by the government. The scheme not only had many successes but also faced challenges in maintaining universal coverage. The new financing arrangement has provided little financial incentive for healthcare providers to contain health expenditure, contributing to rapid health cost inflation. In addition to reforming the payment system for providers, there has been an increasing need to expand benefits into ambulatory care. The development of compulsory health insurance in Mongolia shows that a prepaid health insurance mechanism based on risk sharing and fund pooling is feasible in low‐income countries given political commitment and government financial support for vulnerable population groups
Business · Economic growth · Economics · Environmental health · Government (linguistics · Health care · Insurance policy · Key person insurance · Population · Risk pool · Self-insurance · Social determinants of health · Social security · Subsidy · Finance · Global Maternal and Child Health · Healthcare Systems and Reforms · HIV/AIDS Impact and Responses · Medicine · Health Policy
Natural calamities and ‘the Big Migration’
Explaining differences in education-related inequalities in health between urban and rural areas in Mongolia
Subsidized health insurance coverage of people in the informal sector and vulnerable population groups
Catastrophic health expenditure and impoverishment in Mongolia
Income-related inequalities in health care utilization in Mongolia, 2007/2008–2012
Who is bearing the financial burden of non-communicable diseases in Mongolia
Health care as a social security benefit
Social health insurance development in Mongolia
The redistributive effect of public and private social programmes
Health insurance coverage and health care access in Moldova
Thirty years of national health insurance in South Korea
| Citations per year | 0.61 |
|---|---|
| Citation span | 2008 - 2018 (11) |
| Highly cited | No |