THE CONTROVERSIAL HEALTH CARE REFORM IN BULGARIA: FINANCIAL SUSTAINABILITY OF HEALTH INSURANCE TWENTY YEARS ON

Svetlana Gercheva ()
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Svetlana Gercheva: University of Economics – Varna, Bulgaria

Economic Science, education and the real economy: Development and interactions in the digital age, 2020, issue 1, 59-70

Abstract: The public associates the health care reform in Bulgaria with the social health insurance model aimed at improving personal responsibility for health, solidarity and cost effectiveness. The instant contribution deals with the long-term financial sustainability of health insurancesince its introduction in Bulgaria. Three controversial dimensions of financial sustainability have been discussed. Firstly, the paper touches on the importance of the ?pure? market in Bulgaria, the lowest average income country in the EU. Secondly, it explores how certain government failures negatively affect the budget of the National Health Insurance Fund. Thirdly, this research analyses the asymmetrical structure of health insurance payments to health care providers, which does not contribute to health promotion and disease prevention in Bulgaria.

Keywords: financial sustainability, social health insurance, out-of-pocket payments, informal payments in Bulgaria; non-government failures, NHIF payments to health care providers; health care expenditures (search for similar items in EconPapers)
JEL-codes: H5 I13 I18 (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:vrn:cfdide:y:2020:i:1:p:59-70

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