Moldova

Total Population: 3.5 million GDP: 7.94 billion Population Coverage: 80 percent Year Launched: 1995 Language: Romanian Membership: Associate Member

Mandatory health Insurance.

Moldova introduced of a system of mandatory health insurance in 2004, characterized by the introduction of a new payroll tax for health, and the creation of a single national pool of funds managed by the National Health Insurance Company.

The Context

The National Health Insurance Company together with the WHO, Country Regional Office in the Republic of Moldova are now implementing the CNAM Institutional Development Strategy 2014 - 2018. All subjects set out in the Strategy contain goals and actions having an impact upon the increasing coverage with Mandatory Health Insruance (MHI):

  • Ensure the protection of rights of insured persons
  • Maintain and improve the access to health care services and improve their quality
  • Ensure sustainability of funds and increase the population coverage with MHI
  • NHIC's efficiency - a qualitative management of services and organization
  • Reforms have focused on consolidation of primary and emergency health care sectors; Increase in the quality of medical services offered; and Identification of evidence-based clinical protocols for quality management of medical services.

In Moldova, major reforms have consisted of fundamental changes in health financing with the introduction of a system of mandatory health insurance (MHI) in 2004, characterized by the introduction of a new payroll tax for health, and the creation of a single national pool of funds managed by the National Health Insurance Company (CNAM). Reforms have focused on consolidation of primary and emergency health care sectors; increase in the quality of medical services offered, and Identification of evidence-based clinical protocols for quality management of medical services.