Analysis of healthcare financing pooling (consolidation) systems in developed OECD countries and Russia

• Andrey V. Ragozin
• Alexey A. Kudinov
• Taisiia A. Chirkova
• Artem A. Sivodedov
• Sergey V. Zhakov

Abstract

The relevance of the study is conditioned by the influence of the used pooling scheme on the efficiency of financing medical guarantees. The review, comparison and analysis of pooling schemes in healthcare in developed OECD countries and the Russian Federation are presented. The conclusion is made about excessive fragmentation of pooling as a limitation of the effectiveness of national systems of financing medical guarantees in most developed OECD countries and the Russian Federation. The authors believe that the transition to a «single payer» system, which combines all health care resources into one pool and directly, without insurance and/or regional intermediaries, pays for all types of medical care to all citizens throughout the country, is a systemic solution.

Keywords:health care financing; pooling; fragmentation; single payer system

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