Publication:
Georgia’s Medical Insurance Program for the Poor

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dc.contributor.authorSmith, Owen
dc.date.accessioned2013-05-01T20:59:12Z
dc.date.available2013-05-01T20:59:12Z
dc.date.issued2013-01
dc.description.abstractGeorgia launched its Medical Insurance Program (MIP) for the poor in 2006. This program draws from general tax revenues to provide comprehensive, means-tested health insurance to the poorest 20 percent of the population as identified by a proxy means test. The government contracts private insurance companies who serve as financial risk carriers and purchasing agents for the program. MIP is well targeted to the poor and has had a major impact on improving financial protection of its beneficiaries. It has also served as a launching pad for significant investments in hospitals and information technology (IT) systems. In brief, MIP is a program funded through general taxation that provides a fairly comprehensive benefits package of health services to the poorest 20 percent of the population as identified via a proxy means test. There are no copayments for services. Although run by a state purchaser during the first two years, since 2008 its key feature has been that private insurance companies are contracted by the Ministry of Health to bear financial risk and to purchase services from both public and private providers on behalf of poor beneficiaries. The government sets policy, pays a per capita premium per beneficiary to private insurers, and conducts program oversight. This case study provides an overview of how MIP is designed, its achievements to date, and challenges for the future. A key theme discussed in further detail, and of potential interest to other countries contemplating a push toward the achievement of universal health coverage, is the contracting of private insurance companies to purchase services on behalf of the poor. Some attention is also given to MIP's targeting approach.en
dc.identifier.doi10.1596/13282
dc.identifier.urihttps://hdl.handle.net/10986/13282
dc.language.isoen_US
dc.publisherWorld Bank, Washington DC
dc.relation.ispartofseriesUNICO Studies Series;No. 16
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectaccess to services
dc.subjectadministrative costs
dc.subjectAdult mortality
dc.subjectAdult mortality rate
dc.subjectaged
dc.subjectagents
dc.subjectapplications
dc.subjectBeneficiaries
dc.subjectcapitation
dc.subjectcardiovascular disease
dc.subjectchemotherapy
dc.subjectchild delivery
dc.subjectchild health
dc.subjectcivil conflict
dc.subjectCommunicable diseases
dc.subjectcommunity participation
dc.subjectcompetitive bidding
dc.subjectcontraception
dc.subjectContraceptive prevalence
dc.subjectcontracts with providers
dc.subjectcost-effectiveness
dc.subjectcosts of care
dc.subjectdelivery costs
dc.subjectdelivery of health care
dc.subjectDependency ratio
dc.subjectdepression
dc.subjectdeveloping countries
dc.subjectdiabetes
dc.subjectdisease risk factors
dc.subjectdoctors
dc.subjecteconomic growth
dc.subjectemergency care
dc.subjectemployment
dc.subjectessential drugs
dc.subjectfee-for-service
dc.subjectfertility
dc.subjectfertility rate
dc.subjectfinance management
dc.subjectFinancial Management
dc.subjectfinancial protection
dc.subjectfinancial risk
dc.subjectfinancial risks
dc.subjectfraud
dc.subjectgovernment support
dc.subjectgross domestic product
dc.subjectgroup insurance
dc.subjecthealth behavior
dc.subjecthealth care
dc.subjecthealth care resources
dc.subjecthealth care services
dc.subjecthealth care utilization
dc.subjectHealth Coverage
dc.subjectHealth Economics
dc.subjecthealth expenditure
dc.subjecthealth expenditures
dc.subjectHealth Financing
dc.subjecthealth indicators
dc.subjecthealth insurance
dc.subjecthealth maintenance
dc.subjecthealth maintenance organization
dc.subjecthealth maintenance organizations
dc.subjecthealth outcomes
dc.subjectHealth Policy
dc.subjecthealth promotion
dc.subjecthealth reform
dc.subjecthealth sector
dc.subjecthealth services
dc.subjecthealth spending
dc.subjecthealth status
dc.subjectHealth System
dc.subjectHealth System Financing
dc.subjecthealth system strengthening
dc.subjecthealth systems
dc.subjectHealth Systems in Transition
dc.subjecthealth workers
dc.subjecthealthcare services
dc.subjecthigh blood pressure
dc.subjectHIV/AIDS
dc.subjectHMO
dc.subjectHMOs
dc.subjecthospital
dc.subjecthospital beds
dc.subjecthospital system
dc.subjecthospitalization
dc.subjecthospitals
dc.subjectill health
dc.subjectillnesses
dc.subjectimmunization
dc.subjectimpact on health
dc.subjectincome
dc.subjectincome countries
dc.subjectInfant
dc.subjectInfant mortality
dc.subjectInfant mortality rate
dc.subjectinfectious diseases
dc.subjectinformal payments
dc.subjectinpatient care
dc.subjectInsurance
dc.subjectInsurance Companies
dc.subjectinsurance industry
dc.subjectinsurance markets
dc.subjectintegration
dc.subjectlab tests
dc.subjectlife expectancy
dc.subjectLife expectancy at birth
dc.subjectlive births
dc.subjectliving conditions
dc.subjectloss ratio
dc.subjectmarketing
dc.subjectMaternal mortality
dc.subjectMaternal mortality rate
dc.subjectMedical care
dc.subjectMedical care costs
dc.subjectMedical Insurance
dc.subjectmedical services
dc.subjectmental
dc.subjectmental health
dc.subjectmental health care
dc.subjectmidwives
dc.subjectMinistry of Health
dc.subjectminority
dc.subjectmonthly premium
dc.subjectmorbidity
dc.subjectmortality
dc.subjectmultiple insurance systems
dc.subjectmultiple insurers
dc.subjectnational government
dc.subjectNeonatal mortality
dc.subjectNurses
dc.subjectoutpatient care
dc.subjectoutpatient services
dc.subjectpatient
dc.subjectPatients
dc.subjectpensions
dc.subjectpharmaceutical spending
dc.subjectpharmacies
dc.subjectpharmacy
dc.subjectphysician
dc.subjectphysicians
dc.subjectpocket payment
dc.subjectpocket payments
dc.subjectPolicy Implications
dc.subjectpopulation groups
dc.subjectpregnant women
dc.subjectprenatal care
dc.subjectprices of health services
dc.subjectprimary care
dc.subjectprimary care doctor
dc.subjectprimary care doctors
dc.subjectprimary health care
dc.subjectPrivate Health Insurance
dc.subjectPrivate Insurance
dc.subjectPrivate Insurance Companies
dc.subjectprivate insurer
dc.subjectprivate insurers
dc.subjectprograms
dc.subjectprogress
dc.subjectprovider payment
dc.subjectprovision of care
dc.subjectpsychiatry
dc.subjectPublic Expenditure
dc.subjectpublic health
dc.subjectPublic health expenditure
dc.subjectpublic health system
dc.subjectpublic hospitals
dc.subjectpublic providers
dc.subjectpurchasing power
dc.subjectquality of care
dc.subjectradiation
dc.subjectreimbursement rates
dc.subjectrespect
dc.subjectrisk factors
dc.subjectrural areas
dc.subjectsafety net
dc.subjectsanitation
dc.subjectsanitation facilities
dc.subjectservice delivery
dc.subjectservice provision
dc.subjectSkilled birth attendance
dc.subjectSocial Affairs
dc.subjectSocial Assistance
dc.subjectsocial sector
dc.subjectSocial Services
dc.subjectsurgery
dc.subjectTuberculosis
dc.subjectuniversal access
dc.subjecturban development
dc.subjectwoman
dc.subjectworkers
dc.subjectworking-age population
dc.titleGeorgia’s Medical Insurance Program for the Pooren
dspace.entity.typePublication
okr.date.disclosure2013-02-01
okr.date.doiregistration2025-05-05T12:44:57.336017Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.globalpracticeFinance and Markets
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.identifier.report74998
okr.language.supporteden
okr.region.administrativeEurope and Central Asia
okr.region.countryGeorgia
okr.topicFinance and Financial Sector Development::Insurance & Risk Mitigation
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth, Nutrition & Popultn Team (HDNHE)
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