Review of defragmentation of publicly subsidized health insurance schemes

Overview

Defragmented and uncoordinated publicly subsidized health insurance (PSHI) schemes remain a pervasive issue undermining progress toward Universal Health Coverage in many countries, especially emerging and low-income economies. This document provides a review of efforts undertaken in four Indian states and several countries on the defragmentation of their health schemes. The document also provides a conceptual framework and typology for the classification of various types of fragmentation encountered.