Evidence

The current national government has shown the political will to implement major health sector reforms in pursuit of universal health coverage (UHC). At the local level, community-based health insurance (CBHI) schemes are functioning as community-led health financing and risk-pooling programs providing financial protection to members. Such micro-insurance schemes precede the launch of government-funded health insurance (GFHI) schemes in India and have contributed to the expansion of health insurance in the country, providing a buffer to low-income households not covered by government schemes. The document provides a concise overview of the findings of a qualitative review by HFG; it analyses the evolving scenario of the GFHI and CBHI schemes in India. The review draws on the experience of subject matter experts who are directly engaged in designing and implementing several GFHI schemes in India, a literature review, and discussions with various stakeholders. This presentation can be used as reference material by companies designing CBHIs.

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