Investigating sustainability challenges for the National Health Insurance Fund in Tanzania: a modelling approach.

ABSTRACT:

Objective

This study aimed to model the long-term cost associated with expanding public health insurance coverage in Tanzania.

Design, setting and participants

We analysed the 2016 claims of 2 923 524 beneficiaries of the National Health Insurance Fund in Tanzania. The analysis focused on determining the average cost per beneficiary across 5-year age groups separated by gender, and grouped by broad health condition categories. We then modelled three different insurance coverage scenarios from 2020 to 2050 and we estimated the associated costs.

Outcome measures

Average cost per beneficiary and the projected financing requirements, projected from 2020 to 2050.

Results

The analysis revealed that the average per beneficiary cost for insurance claims was $38.58. Amo

SUBMITTER: Osetinsky B 

PROVIDER: S-EPMC10441117 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature