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This case study on Malaysia is part of phase two of the multicountry Universal Health Coverage study series (UNICO), which explores propoor universal health coverage (UHC) programs, which expanded one or more of the three dimensions of the UHC cube, breadth of population coverage, depth of service coverage, and height of financial coverage, in a manner that is propoor. Malaysia is one of only a handful of global examples of low-income or middle-income healthcare systems which had been able to deliver equitable and effective health outcomes at low cost and with strong financial protection, through public sector supply-side investments. The experiences and lessons learnt from Malaysia's Public Healthcare System (PHS) are hence relevant for low, and low-middle-income countries considering such a pathway to UHC. Sections two to four of this case study describes the political, economic, and population context in which PHS exists, and covers two important aspects of PHS, service delivery and health financing, which are instrumental to its success. PHS coexists with a large parallel private sector, which is described together in these sections. Additional topics on PHS, its institutional architecture, management of its benefits package, and information environment, are covered in sections five to seven. Two major focus areas are then discussed: the first focus area (section eight) discusses how PHS achieved propoor coverage through implicit targeting, while the second focus area explores the interrelationship between PHS and the private sector. Section 10 concludes with a proposed reform agenda for Malaysia.

Accountability --- Demographics --- Health Economics and Finance --- Health Insurance --- Health Service Management and Delivery --- Health, Nutrition and Population --- Private Health Insurance

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This book presents research findings on India's major central and state government-sponsored health insurance schemes (GSHISs). The analysis centers on the GSHISs launched since 2007. These schemes targeted poor populations, aiming to provide financial protection against catastrophic health shocks, defined in terms of inpatient care. Focus is on two lines of inquiry. The first involves institutional and "operational" opportunities and challenges regarding schemes' design features, governance arrangements, financial flows, cost-containment mechanisms, underlying stakeholder incentives, informat

Delivery of Health Care -- economics -- India. --- Health expenditures -- India. --- National Health Programs -- economics -- India. --- Social Sciences --- Insurance --- Health Services Administration --- Health Planning --- Asia, Western --- Health Care Quality, Access, and Evaluation --- Patient Care Management --- Costs and Cost Analysis --- Health Care --- Asia --- Financing, Organized --- Anthropology, Education, Sociology and Social Phenomena --- Health Care Economics and Organizations --- Geographic Locations --- Geographicals --- Health Expenditures --- Insurance Coverage --- Delivery of Health Care --- India --- National Health Programs --- Insurance, Health --- Organization and Administration --- Economics --- Public Health --- Health & Biological Sciences --- Medical Economics --- National health services --- Medical care --- Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical policy --- Public health