Winners and Losers: Expansion of Insurance Coverage in Russia in the 1990s

Abstract

The growth of insurance coverage in Russia slowed toward the end of the 1990s, and gaps remain. Achievement of universal coverage will require new, targeted policies.

Mortality Reversal in Russia: The story so far

“…95 Although the implementation of a new system of health care financing, based on health insurance, was relatively successful, about one in ten Russians remained without cover. 96 However, reform of health care delivery proved more problematic. Although it was now possible to invest in labour-saving technologies and introduce innovative models of care, with patients remaining in the community, the government has been unwilling to provide the necessary funds.…”

Population health indicators differentiation: The Kemerovo oblast municipalities case study

“…В области финансирования был осуществлен относительно успешный переход к страховой ме дицине, хотя заметная часть населения, уже маргинализованного, остается за рамками этой системы (Balabanova, Falkingham and McKee 2003). Гораздо труднее, однако, оказалось добиться измене ний в самом медицинском обслуживании.…”

Two decades of reforms. Appraisal of the financial reforms in the Russian public healthcare sector

“…At the beginning, insurance coverage was largely a function of geographic location and employment status, with higher coverage among the wealthier population. This trend gradually changed to a more equal distribution [6,29,36], and currently almost 97.4% of the Russian population is insured [7].…”