The AMU management organization is required to organize a medical inspection to verify the necessity and appropriateness of the care and treatment provided or prescribed for the insured's state of health, and to identify any abuses or fraud in the prescription and...
This decree lays down the conditions and procedures for enrolment, affiliation and registration under the universal health insurance (AMU) medical assistance scheme (RAM), in accordance with articles 16, 20 and 45 of law no. 2021-022 of October 18, 2021 instituting...
This decree sets out the contractual framework between the managing body and the delegated managing bodies (DMOs) of universal health insurance, in accordance with article 52 of law no. 2021-022 of October 18, 2021 instituting universal health insurance in the...
The Rwanda National Health Insurance Policy aims to achieve universal health coverage by 2020 through equity, solidarity, and risk-sharing principles, ensuring access to quality health care for all citizens. With over 92% of the population already insured through...
A Senate fact-finding mission sought to measure the phenomenon of financialization in the various sectors of healthcare provision. It identified the determinants and assessed the consequences for the organization of healthcare provision in different regions, the...
On September 24, the French National Health Insurance (Assurance maladie) presented the trend in healthcare reimbursements by the general scheme over the last twelve months. The data published show that reimbursements rose by 4.4% over the period. Spending on...
As part of the scheme to improve the quality of public action, the Inspection générale des Finances (IGF) and the Inspection générale des Affaires sociales (Igas) were commissioned in November 2023 to conduct an expenditure review on medical devices, which accounted...
Following an initial opinion published in April, the Comité d'alerte has published a second opinion on compliance with the National Health Insurance Expenditure Target (Ondam) for 2024. The Ondam target for 2024 was set at €254.9 billion in the last Social Security...
The Board of Caisse Nationale de l'Assurance Maladie (CNAM) has examined the provisional annual report on projected costs and expenditure for 2025. The report forecasts a health insurance branch deficit of €11.4 billion by the end of 2024. To redress the situation,...
Based on analyses of trends in expenditure and practices, and drawing on French and international recommendations, the Charges et produits pour l'année 2025 report presents proposals and ideas for improving the quality and efficiency of care, and optimizing healthcare...
It analyzes both the expenditure and the output that this expenditure generates, using official data at the health facility level. The study is complemented by an application that allows the policy maker to query the database, identify improvements in resource...
More than 1,500 people have received their provisional registration cards and certificates for the universal health insurance scheme. Twelve structures have been affiliated and 199,112 have been pre-registered. This was announced by the Minister in charge of of social...
Plans for establishing national health insurance in Antigua and Barbuda were put on hold due to the COVID19 pandemic. The Minister of Health confirms that these plans will now go ahead.Establishing a National Health Insurance was a strategic intervention in the...
The paper examines how Rwanda’s community-based health insurance (CBHI) program influences household healthcare expenditures. Using survey data, the study finds that CBHI significantly reduces out-of-pocket healthcare costs, with an 83% decrease in per capita...
This is the Law of the Republic of Lithuania on Insuring Health (I-1343), signed on May 21, 1996 by Algirdas Brazauskas, President of the Republic of Lithuania. The attached file contains the latest amendments introduced by Law No. XIV-2335 on December 14, 2023. This...
