Georgia’s Medical Insurance Program for the Poor Smith, Owen 2013-05-01T20:59:12Z 2013-05-01T20:59:12Z 2013-01
dc.description.abstract Georgia 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.language.iso en_US
dc.publisher World Bank, Washington DC
dc.relation.ispartofseries UNICO Studies Series;No. 16
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.subject access to services
dc.subject administrative costs
dc.subject Adult mortality
dc.subject Adult mortality rate
dc.subject aged
dc.subject agents
dc.subject applications
dc.subject Beneficiaries
dc.subject capitation
dc.subject cardiovascular disease
dc.subject chemotherapy
dc.subject child delivery
dc.subject child health
dc.subject civil conflict
dc.subject Communicable diseases
dc.subject community participation
dc.subject competitive bidding
dc.subject contraception
dc.subject Contraceptive prevalence
dc.subject contracts with providers
dc.subject cost-effectiveness
dc.subject costs of care
dc.subject delivery costs
dc.subject delivery of health care
dc.subject Dependency ratio
dc.subject depression
dc.subject developing countries
dc.subject diabetes
dc.subject disease risk factors
dc.subject doctors
dc.subject economic growth
dc.subject emergency care
dc.subject employment
dc.subject essential drugs
dc.subject fee-for-service
dc.subject fertility
dc.subject fertility rate
dc.subject finance management
dc.subject Financial Management
dc.subject financial protection
dc.subject financial risk
dc.subject financial risks
dc.subject fraud
dc.subject government support
dc.subject gross domestic product
dc.subject group insurance
dc.subject health behavior
dc.subject health care
dc.subject health care resources
dc.subject health care services
dc.subject health care utilization
dc.subject Health Coverage
dc.subject Health Economics
dc.subject health expenditure
dc.subject health expenditures
dc.subject Health Financing
dc.subject health indicators
dc.subject health insurance
dc.subject health maintenance
dc.subject health maintenance organization
dc.subject health maintenance organizations
dc.subject health outcomes
dc.subject Health Policy
dc.subject health promotion
dc.subject health reform
dc.subject health sector
dc.subject health services
dc.subject health spending
dc.subject health status
dc.subject Health System
dc.subject Health System Financing
dc.subject health system strengthening
dc.subject health systems
dc.subject Health Systems in Transition
dc.subject health workers
dc.subject healthcare services
dc.subject high blood pressure
dc.subject HIV/AIDS
dc.subject HMO
dc.subject HMOs
dc.subject hospital
dc.subject hospital beds
dc.subject hospital system
dc.subject hospitalization
dc.subject hospitals
dc.subject ill health
dc.subject illnesses
dc.subject immunization
dc.subject impact on health
dc.subject income
dc.subject income countries
dc.subject Infant
dc.subject Infant mortality
dc.subject Infant mortality rate
dc.subject infectious diseases
dc.subject informal payments
dc.subject inpatient care
dc.subject Insurance
dc.subject Insurance Companies
dc.subject insurance industry
dc.subject insurance markets
dc.subject integration
dc.subject lab tests
dc.subject life expectancy
dc.subject Life expectancy at birth
dc.subject live births
dc.subject living conditions
dc.subject loss ratio
dc.subject marketing
dc.subject Maternal mortality
dc.subject Maternal mortality rate
dc.subject Medical care
dc.subject Medical care costs
dc.subject Medical Insurance
dc.subject medical services
dc.subject mental
dc.subject mental health
dc.subject mental health care
dc.subject midwives
dc.subject Ministry of Health
dc.subject minority
dc.subject monthly premium
dc.subject morbidity
dc.subject mortality
dc.subject multiple insurance systems
dc.subject multiple insurers
dc.subject national government
dc.subject Neonatal mortality
dc.subject Nurses
dc.subject outpatient care
dc.subject outpatient services
dc.subject patient
dc.subject Patients
dc.subject pensions
dc.subject pharmaceutical spending
dc.subject pharmacies
dc.subject pharmacy
dc.subject physician
dc.subject physicians
dc.subject pocket payment
dc.subject pocket payments
dc.subject Policy Implications
dc.subject population groups
dc.subject pregnant women
dc.subject prenatal care
dc.subject prices of health services
dc.subject primary care
dc.subject primary care doctor
dc.subject primary care doctors
dc.subject primary health care
dc.subject Private Health Insurance
dc.subject Private Insurance
dc.subject Private Insurance Companies
dc.subject private insurer
dc.subject private insurers
dc.subject programs
dc.subject progress
dc.subject provider payment
dc.subject provision of care
dc.subject psychiatry
dc.subject Public Expenditure
dc.subject public health
dc.subject Public health expenditure
dc.subject public health system
dc.subject public hospitals
dc.subject public providers
dc.subject purchasing power
dc.subject quality of care
dc.subject radiation
dc.subject reimbursement rates
dc.subject respect
dc.subject risk factors
dc.subject rural areas
dc.subject safety net
dc.subject sanitation
dc.subject sanitation facilities
dc.subject service delivery
dc.subject service provision
dc.subject Skilled birth attendance
dc.subject Social Affairs
dc.subject Social Assistance
dc.subject social sector
dc.subject Social Services
dc.subject surgery
dc.subject Tuberculosis
dc.subject universal access
dc.subject urban development
dc.subject woman
dc.subject workers
dc.subject working-age population
dc.title Georgia’s Medical Insurance Program for the Poor en
dspace.entity.type Publication 2013-02-01
okr.doctype Publications & Research :: Working Paper
okr.doctype Publications & Research
okr.globalpractice Finance and Markets
okr.globalpractice Finance and Markets
okr.globalpractice Health, Nutrition, and Population 74998
okr.language.supported en
okr.region.administrative Europe and Central Asia Georgia
okr.topic Finance and Financial Sector Development :: Insurance & Risk Mitigation
okr.topic Health, Nutrition and Population :: Health Economics & Finance
okr.topic Health, Nutrition and Population :: Health Monitoring & Evaluation
okr.topic Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic Health, Nutrition and Population :: Population Policies
okr.unit Health, Nutrition & Popultn Team (HDNHE)
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