GEORGIA: STARTING IN 2019 THE MODEL OF FINANCING UNIVERSAL HEALTH INSURANCE IN THE COUNTRY WILL CHANGE

Beginning in 2019, Georgia will change the model of financing within the General Health Insurance program. According to the Ministry of health the new system of reimbursement provides for transition to a model of diagnostically related groups (DRG), based on which a patient’s diagnosis, age, length of hospitalization, and other criteria will determine the amount of funding, wrote Business Georgia.

As experts of the World Health Organization believe, this model is more cost-effective, transparent, and it promotes financial equality. It will ensure more effective services for clients and better resource distribution.

For the moment the most common type of health insurance in Georgia is state insurance, which was introduced in 2013 and consists of 2 insurance packages – basic and additional. In terms of commercial health insurance, only 3 out of 12 companies in Georgia can offer individual insurance. At that average monthly cost may vary between USD 11 and USD 46. The difference between insurers’ offers lies in annual limits for various types of treatment and providing hospitals.

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