Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges

In Morocco, a reform process to establish universal health coverage (UHC) through nonsubsidized and subsidized social health insurance (SHI) was launched in 2002. This case study focuses on the subsidized SHI scheme, régime d’assistance médicale (R...

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Main Author: Chen, Dorothee
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2018
Subjects:
Online Access:http://documents.worldbank.org/curated/en/177741516178542801/Morocco-s-subsidized-health-insurance-regime-for-the-poor-and-vulnerable-population-achievements-and-challenges
http://hdl.handle.net/10986/29186
id okr-10986-29186
recordtype oai_dc
spelling okr-10986-291862021-05-25T09:10:06Z Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges Chen, Dorothee UNIVERSAL HEALTH COVERAGE HEALTH FINANCE HEALTH SYSTEM REFORM SERVICE DELIVERY INSTITUTIONS BENEFITS PACKAGE DEMOGRAPHICS MORTALITY HEALTH EXPENDITURE UNICO UHC In Morocco, a reform process to establish universal health coverage (UHC) through nonsubsidized and subsidized social health insurance (SHI) was launched in 2002. This case study focuses on the subsidized SHI scheme, régime d’assistance médicale (RAMED). This program, which is Morocco’s flagship social protection and health program and which had the support of the King Mohamed VI, was piloted in 2008 and scaled up to the national level in 2012. As of November 2016, 6.35 million people - 19 percent of the population - had valid RAMED identification cards. RAMED relies on a sophisticated methodology to target poor and vulnerable households, combining proxy means testing and community targeting methods. This case study reviews RAMED’s achievements and identifies potential reforms to address the challenges RAMED is facing. After presenting details of the health financing and delivery systems and an overview of public health care, the case study reviews RAMED’s institutional arrangements, poverty targeting, enrolment and identification mechanisms, benefits package, and information environment system. The study concludes with a discussion of potential areas of improvements. 2018-01-18T20:53:22Z 2018-01-18T20:53:22Z 2018-01 Working Paper http://documents.worldbank.org/curated/en/177741516178542801/Morocco-s-subsidized-health-insurance-regime-for-the-poor-and-vulnerable-population-achievements-and-challenges http://hdl.handle.net/10986/29186 English Universal Health Coverage Studies Series;No. 36 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Middle East and North Africa Morocco
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic UNIVERSAL HEALTH COVERAGE
HEALTH FINANCE
HEALTH SYSTEM REFORM
SERVICE DELIVERY
INSTITUTIONS
BENEFITS PACKAGE
DEMOGRAPHICS
MORTALITY
HEALTH EXPENDITURE
UNICO
UHC
spellingShingle UNIVERSAL HEALTH COVERAGE
HEALTH FINANCE
HEALTH SYSTEM REFORM
SERVICE DELIVERY
INSTITUTIONS
BENEFITS PACKAGE
DEMOGRAPHICS
MORTALITY
HEALTH EXPENDITURE
UNICO
UHC
Chen, Dorothee
Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
geographic_facet Middle East and North Africa
Morocco
relation Universal Health Coverage Studies Series;No. 36
description In Morocco, a reform process to establish universal health coverage (UHC) through nonsubsidized and subsidized social health insurance (SHI) was launched in 2002. This case study focuses on the subsidized SHI scheme, régime d’assistance médicale (RAMED). This program, which is Morocco’s flagship social protection and health program and which had the support of the King Mohamed VI, was piloted in 2008 and scaled up to the national level in 2012. As of November 2016, 6.35 million people - 19 percent of the population - had valid RAMED identification cards. RAMED relies on a sophisticated methodology to target poor and vulnerable households, combining proxy means testing and community targeting methods. This case study reviews RAMED’s achievements and identifies potential reforms to address the challenges RAMED is facing. After presenting details of the health financing and delivery systems and an overview of public health care, the case study reviews RAMED’s institutional arrangements, poverty targeting, enrolment and identification mechanisms, benefits package, and information environment system. The study concludes with a discussion of potential areas of improvements.
format Working Paper
author Chen, Dorothee
author_facet Chen, Dorothee
author_sort Chen, Dorothee
title Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
title_short Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
title_full Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
title_fullStr Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
title_full_unstemmed Morocco’s Subsidized Health Insurance Regime for the Poor and Vulnerable Population : Achievements and Challenges
title_sort morocco’s subsidized health insurance regime for the poor and vulnerable population : achievements and challenges
publisher World Bank, Washington, DC
publishDate 2018
url http://documents.worldbank.org/curated/en/177741516178542801/Morocco-s-subsidized-health-insurance-regime-for-the-poor-and-vulnerable-population-achievements-and-challenges
http://hdl.handle.net/10986/29186
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