Reforming the Basic Benefits Package in Armenia

Fraser, Nicole; Chukwuma, Adanna; Koshkakaryan, Marianna; Yengibaryan, Lusine; Hou, Xiaohui; Wilkinson, Tommy

doi:10.1596/35347

Cited by 2 publications

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“…In this context, health insurance is the basis for creating fair and sustainable healthcare systems that will be to provide high-quality, safe, comprehensive, accessible and inexpensive medical care for all, especially for the most vulnerable sections of the population [8]. The World Bank study additionally prioritizes the urgent need to review services, depth of package coverage and beneficiaries in line with improvements in population health, comprehensive access to primary care and sustainable financing [9].…”

Section: Literature Reviewmentioning

confidence: 99%

The Mechanism of Phased Introduction of Compulsory Health Insurance and Assessment of its Financial Burden

Hakobyan

2024

Регион И Мир / Region and the World

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The healthcare financing mechanisms and volumes don’t correspond with the development requirements of the sector. Any state, including RA, needs large-scale financial resources to ensure universal health coverage of the population, train the necessary number and quality of specialists, create centers equipped with the latest medical equipment, and provide quality services. Along with this, the spread of chronic diseases in the country, the aging of the population, and significant out-of-pocket costs require the introduction of a mandatory health insurance system. The main goal of the research is to define the mechanism of the phased implementation of compulsory health insurance and the calculation of the financial burden of each stage of that system, as well as the calculation of the per person annual insurance premium in case of introduction of compulsory health insurance in RA.

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Section: Literature Reviewmentioning

confidence: 99%

The Mechanism of Phased Introduction of Compulsory Health Insurance and Assessment of its Financial Burden

Hakobyan

2024

Регион И Мир / Region and the World

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The burden of catastrophic and impoverishing health expenditure in Armenia: An analysis of Integrated Living Conditions Surveys, 2014–2018

Kazungu

Meyer²,

Sargsyan³

et al. 2022

PLOS Glob Public Health

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Armenia’s health spending is characterized by low public spending and high out-of-pocket expenditure (OOP), which not only poses a financial barrier to accessing healthcare for Armenians but can also impoverish them. We analyzed Armenia’s Integrated Living Conditions Surveys 2014–2018 data to assess the incidence and correlates of catastrophic health expenditure (CHE) and impoverishment. Households were considered to have incurred CHE if their annual OOP exceeded 40 percent of the per capita annual household non-food expenditure. We assessed impoverishment using the US$1.90 per person per-day international poverty line and the US$5.50 per person per-day upper-middle-income country poverty line. Logistic regression models were fitted to assess the correlates of CHE and impoverishment. We found that the incidence of CHE peaked in 2017 before declining in 2018. Impoverishment decreased until 2017 before rising in 2018. After adjusting for sociodemographic factors, households were more likely to incur CHE if the household head was older than 34 years, located in urban areas, had at least one disabled member, and had at least one member with hypertension. Households with at least one hypertensive member or who resided in urban areas were more likely to be impoverished due to OOP. Paid employment and high socioeconomic status were protective against both CHE and impoverishment from OOP. This detailed analysis offers a nuanced insight into the trends in Armenia’s financial risk protection against catastrophic and impoverishing health expenditures, and the groups predominantly affected. The incidence of CHE and impoverishment in Armenia remains high with a higher incidence among vulnerable groups, including those living with chronic disease, disability, and the unemployed. Armenia should consider different mechanisms such as subsidizing medication and hospitalization costs for the poorest to alleviate the burden of OOP.

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Reforming the Basic Benefits Package in Armenia

Cited by 2 publications

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The Mechanism of Phased Introduction of Compulsory Health Insurance and Assessment of its Financial Burden

The Mechanism of Phased Introduction of Compulsory Health Insurance and Assessment of its Financial Burden

The burden of catastrophic and impoverishing health expenditure in Armenia: An analysis of Integrated Living Conditions Surveys, 2014–2018

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