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American healthcare reform: Possible lessons for Iran

American healthcare reform: Possible lessons for Iran. Carol Molinari, PhD Associate Professor University of Baltimore Baltimore, MD US. Affordable Care Act (ACA) 2010 “ Obamacare ”. Access Health insurance with basic coverage (prevention and treatment)

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American healthcare reform: Possible lessons for Iran

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  1. American healthcare reform:Possible lessons for Iran Carol Molinari, PhD Associate Professor University of Baltimore Baltimore, MD US

  2. Affordable Care Act (ACA) 2010“Obamacare” • Access • Health insurance with basic coverage (prevention and treatment) • Expand to cover low income under public Medicaid insurance • Subsidies based on income for those ineligible for expanded Medicaid • Changes in Delivery • Provider payment • Organization into systems to coordinate care

  3. Improving Health Indicators* in Iran *The World Health Report, 2002, 2004 * Maternal Mortality Surveillance System,2003

  4. Improving Health Indicators* in Iran *The World Health Report, 2002, 2004 * Maternal Mortality Surveillance System,2003

  5. Iran’s health system • Hyperinflation of health costs – • 400% increase- 2005-2012 • 70% paid out of pocket • Restrict access • Major financial burden Supply- based demand • Growing surplus of private providers in urban areas • Fee-for service provider payment Consumer-based demand • Very high c-section rate around 40%

  6. Iran Reform United States Reform Health care plan – Govt subsidies dependent on individual’s income Comprehensive coverage Financial incentives to reform Provider payment Organization of care • Govt support of private medical insurance for Iranians who cannot afford care • Consider • Financial incentives to reform delivery system • More government oversight of private sector

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