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Healthcare Reform In The Emerging Markets - The New Role Of Health Insurance

Published by: Business Monitor International

Published: May. 12, 2009 - 20 Pages


Table of Contents


The Need For Healthcare Reform
Achieving Equitable Access To Healthcare
Emerging Markets
Africa
A Difficult Market For Insurance
Ghana
chart: Middle East And Africa Variation
MEA Health Insurance Spending 2006 (% of Total Health Spending)
Rwanda
chart: Rwandan Health Insurance Uptake Meeting Targets
Rwanda Community Based Health Insurance Scheme
chart: Small But Successful
Rwanda Health Insurance Spending (US$mn)
Uganda, Sierra Leone, Ethiopia
Middle East - Saudi Arabia
chart: Happening Too Fast?
Saudi Arabia Health Insurance Spending (US$mn)
UAE
chart: Creating A Balance
UAE Health Insurance Spending (US$mn)
The Americas - Mexico
chart: On Target
Mexico Health Insurance Spending (US$mn)
chart: Latin America Variation
Latin America Health Insurance Spending 2006
Asia - Thailand
chart: Reforms To Increase Spending
Thailand Health Insurance Spending (US$mn)
China
chart: Huge Market Potential
China Health Insurance Spending (US$mn)
chart: Asia Regional Variation
Select Asia % Of Total Spending On Private Health Insurance, 2006
Developed States
chart: More Spending, Inequal Access
G7 % Of Total Health Spent On Health Insurance 2006
The Netherlands
chart: Efficient Spending
The Netherlands Health Insurance Spending (US$mn)
The UK
chart: Needing Efficiency
UK Health Insurance Spending (US$mn)
chart: Private Care Getting Popular?
Select Europe % Of Total Health Expenditure On Health Insurance 2006
The US
The pending reforms
chart: Waiting For A Reform
US Health Insurance Spending (US$mn)
The Role Of Health Insurance And The Government
Summary
References

Abstract

Achieving Equitable Access To Healthcare

Developing countries around the world are recognising that establishing a sustainable healthcare system will promote long-term economic stability. Healthy people stimulate the generation of wealth, while the sick and disabled generally draw on it. In recent years, the push for healthcare reform in many countries has accelerated, with BMI providing analysis on events unfolding in the emerging markets and developed states. Some countries, such as Saudi Arabia, are introducing universal health insurance to relieve the financial burden on the government, while others, such as the Netherlands, have used their wealth to fund subsidised nationwide healthcare.

Significantly, the concept of insurance has developed beyond a simplistic view of private versus government. The Netherlands has been heralded among the developed world as a benchmark of healthcare accessibility and coverage, using a two-tiered system of governmentsubsidised basic medical insurance, with additional private coverage. The reform, which took place in 2006, moved the Dutch into a different league, highlighting that quality and cost are not compromised when taxfunded systems are abolished in favour of combined private and government-subsidised healthcare.

BMI notes that while developed nations are observing the Dutch model with interest, particularly in light of the rising demand from growing populations, similar systems are being enforced by the emerging markets. For example, in Africa, community-based health and microinsurance schemes are being increasingly introduced to reduce the unnecessarily high maternal and child mortality rates. While payment structures and schemes may vary between countries on the continent, the growing trend is largely in favour of losing the fragmented modes of payment that have reduced equitable access to medical services.

The World Health Organization (WHO) has been heavily involved in monitoring and advising developing nations on the logistics of reforming the healthcare sector. We note that drugmakers, medical device manufacturers and other health-related service providers will view similar system overhauls to the one witnessed in the Netherlands as an attractive opportunity to invest in the emerging markets.

While regulatory environments within developing countries pose different challenges for multinational firms entering the healthcare market, the fundamentals of access to medicine, well equipped hospitals and adequate care will do much to promote foreign direct investment. Moreover, multinational firms are more likely to expand operations into a new market where political stability and the correct allocation of resources is present.

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