Feasibility of Liberalising the Compulsory Health Insurance Market in the Republic of Moldova
Authors
Automatically translated summary. The full text is available in Romanian.
An analysis examines whether the Republic of Moldova could liberalise its compulsory health insurance (CHI) market and let private insurers take part alongside the public insurer. It considers the country's commitment to universal access to medical services and the experience of other states, amid growing debate on public-private partnership.
Moldova's health system faces many problems: persistent informal payments, inefficient spending of health funds, a large number of uninsured people, a lack of measurable performance indicators, outdated infrastructure, insufficient transparency at the National Health Insurance Company and management deficiencies.
The analysis concludes that Moldova is not ready for a CHI system in which private insurers have equal participation rights with the public insurer. Rebuilding the current system from the ground up is not possible at present, as the risks of the system collapsing are too high. Instead, the authors propose changes to the current model that would involve private insurers gradually, alongside improvements to the institutional framework. This would first of all increase the satisfaction of large contributors, who are unhappy with the services received for the high premiums they pay and look for ways to avoid them. It would also gradually prepare the private insurance sector for more active involvement.
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