Health insurance reforms like the Health Transformation Program (2014) in Iran have had an impact on equity, efficiency, sustainability and quality of health care. This influences the country’s progress towards universal health coverage (UHC). This study documents these reforms from formulation to implementation and explores the challenges which remain for sustainable UHC.
To achieve UHC, the government of Iran needs to devise and follow policies to control health care expenditures. Working mechanisms to extend free health insurance coverage for those in need can be devised.