This decree sets out the conditions and procedures for affiliation to the compulsory health insurance scheme, in accordance with Articles 4 and 5 of Law N°2021-022 instituting Universal Health Insurance in the Togolese Republic. All natural or legal persons, public or...
This decree sets out the terms and procedures for concluding, suspending and terminating agreements between management organizations and health care and service providers. Only guaranteed services provided by a public or private health care provider that has signed an...
This decree sets out the powers, organization and operation of the appeals committee of the universal health insurance management body. Claims lodged against decisions taken by the universal health insurance management body, with the exception of medical disputes,...
This decree defines the values and nomenclatures of pharmaceutical procedures and products covered by the universal health insurance scheme. The Minister of Health and Public Hygiene, the Minister of the Civil Service, Labor and Social Dialogue, the Minister of the...
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...
This study examines the impact of health insurance and social safety net programmes on maternal health service utilisation (MHSU) in Pakistan. It recommends that expanding access to health insurance can provide comprehensive coverage for maternal healthcare services....
