This note offers insights on how Egypt can move forward to achieve automatic UHIS coverage for vulnerable groups. Automatic enrollment would help eliminate barriers to UHIS coverage, get rid of long queues for applicants, decrease the administrative burden on...

Nation’s Healing Promise: Tanzania’s Bold Push Towards Universal Health Insurance
Tanzania’s Universal Health Insurance Act, 2023, aims to provide mandatory health coverage for all citizens, addressing low insurance rates and high out-of-pocket costs. Success hinges on trust, political will, and inclusive financing to ensure equitable, accessible...

Parliament approves historic GH¢10 billion for NHIA to revolutionise Ghana’s healthcare
Ghana’s Parliament has approved a record GH¢10 billion for the National Health Insurance Authority in 2025, significantly expanding funding for claims, operations, and chronic disease care, including dialysis under the NHIS. This major investment aims to improve...

Rare diseases in France: a subject taken very seriously
France's 7000 rare diseases affect more than 3 million people. France is a pioneer in Europe in implementing a national plan for rare diseases. They are reimbursed up to 100% by the French Assurance Maladie. [ba_gradient_heading title="What is a rare disease?"...

Nigeria seeks deeper health ties with Brazil, unveils bold agenda for Universal Health Coverage
The Federal Government of Nigeria has reaffirmed its commitment to Universal Health Coverage by deepening strategic health sector cooperation with Brazil, focusing on local pharmaceutical production, digital health, and workforce development, while drawing lessons...

Vietnam enacts new social insurance law effective 1 July
Vietnam’s new Social Insurance Law, effective 1 July, restricts lump-sum payouts to workers who meet specific conditions such as serious illness, emigration, or insufficient contribution years at retirement age, aiming to encourage long-term participation in the...
Social health insurance, health services utilization and procurement of private health insurance in Thailand’s multi-payer universal health system
Thailand’s entire population is insured under one of the three main public health insurance schemes: the Universal Coverage Scheme (UCS), the Social Security Scheme (SSS), and the Civil Servant Medical Benefit Scheme (CSMBS). This study investigated differences in...
Long-term financial sustainability of Rwanda’s universal health coverage model: Challenges and solutions (2011 – 2021) and Vision 2050
Since 2000, Rwanda has made remarkable progress toward universal health coverage (UHC) through a Community-Based Health Insurance (CBHI) system, but now faces chronic financial sustainability challenges as it aims for higher health-care standards under Vision 2050. A...

South Korea Faces Fiscal Crisis in National Health Insurance
South Korea’s national health insurance system is facing a financial crisis, with rising premiums unlikely to ensure long-term fiscal stability, prompting the government to propose abolishing the subsidy sunset system and increasing state funding. However, experts...
Impact of Medical Insurance Penetration and Macroeconomic Factors on Healthcare Expenditure and Quality Outcomes in Saudi Arabia
The study analyzed the determinants of the Healthcare Quality Index (HQI) in Saudi Arabia from 1990 to 2024 to assess both short-term dynamics and long-term relationships among key economic and healthcare variables. Findings reveal that, in the short term, GDP and...

New OJK Regulation Requires 10% Co-Payment for Health Insurance Claims in Indonesia
The Financial Services Authority (OJK) will implement new regulations from January 1, 2026, requiring commercial health insurance products to adopt a co-payment scheme, coordinate benefits with the National Health Insurance program, and establish a Medical Advisory...
Reconfiguring health purchasing for universal health coverage: insights from Nepal with relevance to low- and middle-income countries
Nepal's shift to federalism and the National Health Insurance Program (NHIP) aimed for universal health coverage, but persistent structural flaws undermine strategic purchasing and system efficiency. The Ministry of Health and Population’s conflicting roles as...

Nepal’s health insurance program: challenges and early impacts
Nepal’s National Health Insurance Program (NHIP), launched in 2016 to improve healthcare access and reduce costs, has faced low enrollment and high dropout rates due to concerns about service quality, lack of awareness, administrative delays, and affordability issues....

China never had free healthcare before its market reforms
The perception of a universal "free" medical care system in China's planned economy era is largely a myth, as most urban healthcare costs were covered by state employers while rural populations had almost no insurance or access to medical resources. Government surveys...
Coverage and predictors of enrollment in the state-supported health insurance schemes in Nigeria: a quantitative multi-site study
This study evaluated the reach and factors influencing enrollment in state-supported health insurance schemes (SSHIS) across six Nigerian states, each representing a different geopolitical zone. Findings showed significant variation in coverage—highest in Kwara State...