This study examined the impact of health insurance policies on household wealth distribution in four sub-Saharan African countries—Burundi, Gabon, Ghana, and Rwanda—that have achieved healthcare coverage above 20% in pursuit of Universal Health Coverage (UHC) goals....
Lived experience of out-of-pocket costs of health care and medicines by people with chronic conditions and their families in Australia: a systematic review of the qualitative literature
Despite Australia’s Medicare, out-of-pocket costs (OOPC) still make up 14% of total health expenditure. This systematic review examined the experiences of Australians with chronic conditions facing OOPC for out-of-hospital care, revealing income loss due to ill...

New WHO/Europe report identifies coverage policy options to improve financial protection in Malta
Nearly 7% of Maltese households face catastrophic health spending. To improve financial protection, Malta should expand means-tested schemes, reduce medicine prices, address waiting times, and broaden publicly funded dental services. A new WHO report, “Can people...

Sustainability of Costa Rica’s Health Insurance at risk
An audit of the Costa Rican Social Security Fund (CCSS) indicates that the state's debt continues to increase over time. The sustainability of health insurance depends on the timely recovery of amounts owed in a timely manner. The report (January 2025) of the internal...
Automatic Health Insurance Enrollment for Vulnerable Individuals: Opportunities for Egypt’s Universal Health Insurance System
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...