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Table 1 Countries selected as case studies and the characteristics as of 2014

From: Comparison of medicines management strategies in insurance schemes in middle-income countries: four case studies

Country

Development stage of UHCa % population covered in the entire countrya

Funding arrangement (year of inception)b

Geographical region (WHO region)

Country income level

Provider mixb

China

90%

NRCMS (2003): Premiums and federal and local government subsidies

URBMI (2007): Premiums and government subsidies

WPR

UMIC

NRCMS: Largely private contractors

URBMI: Largely public

Indonesia

40–63%

JAMKESMAS (2004): Government revenues

SEAR

LMIC

Jamkesmas: Nearly exclusively public

Ghana

39%

NHIS (2004): Social Health Insurance

AFR

LMIC

NHIS: Mixed public/private providers

Mexico

80–100%

SP (2003): Premiums and taxes

AMR

UMIC

SP: Nearly exclusively public

  1. aThe percentage of the population covered varies by data source and method of estimating coverage; hence, we report for some countries a range. Percentage coverage is based on most recent reporting or 2014, whichever is later
  2. bThis information refers to the reform program that specifically targets the poor population: NRCMS New Rural Coorperative Medical Scheme, URBMI Urban Residence Basic Medical Insurance, MoHME Ministry of Health and Medical Education, NHIS National Health Insurance Scheme, RHI Rural Health Insurance, SP Seguro Popular
  3. Region: WPR Western Pacific Region, SEAR South-east Asian Region, AFR African Region, AMR Region of the Americas, EMR Eastern Mediterranean Region