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

Chen, Dorothee

World Bank, Washington, DC

关键词: UNIVERSAL HEALTH COVERAGE;    HEALTH FINANCE;    HEALTH SYSTEM REFORM;    SERVICE DELIVERY;    INSTITUTIONS;   

RP-ID  :  122813

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

In Morocco, a reform process toestablish universal health coverage (UHC) throughnonsubsidized and subsidized social health insurance (SHI)was launched in 2002. This case study focuses on thesubsidized SHI scheme, régime d’assistance médicale (RAMED).This program, which is Morocco’s flagship social protectionand health program and which had the support of the KingMohamed VI, was piloted in 2008 and scaled up to thenational level in 2012. As of November 2016, 6.35 millionpeople - 19 percent of the population - had valid RAMEDidentification cards. RAMED relies on a sophisticatedmethodology to target poor and vulnerable households,combining proxy means testing and community targetingmethods. This case study reviews RAMED’s achievements andidentifies potential reforms to address the challenges RAMEDis facing. After presenting details of the health financingand 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. Thestudy concludes with a discussion of potential areas of improvements.