Health Insurance Systems and Policy

This specialised training course provides an in-depth understanding of health insurance systems and the policies that govern them. Participants will explore the structures, financing models, and regulatory frameworks that shape health insurance globally. The course highlights the balance between accessibility, affordability, and quality of care, while examining the role of governments, private insurers, and international organisations in shaping health policy.

Through real-world examples and case studies, participants will learn how different health insurance systems operate, compare policy approaches across countries, and analyse the impact of reforms on healthcare delivery and equity.

Section 1: Foundations of Health Insurance Systems

• Definition and purpose of health insurance.
• Core principles: risk pooling, solidarity, and equity.
• Types of health insurance: public, private, and mixed systems.

Section 2: Financing Models and Mechanisms

• Tax-based vs. premium-based systems.
• Social health insurance models.
• Out-of-pocket payments and their implications.
• Sustainable financing strategies for universal health coverage (UHC).

Section 3: Regulation and Policy Frameworks

• The role of government in policy design and oversight.
• Legal and regulatory standards for insurers and providers.
• Balancing cost control with quality and access.
• Impact of health policy reforms on system performance.

Section 4: Comparative Health Insurance Systems

• Case studies: USA, UK, Germany, and emerging economies.
• Lessons learned from successful reforms.
• Challenges in low- and middle-income countries.

Section 5: Future Directions in Health Insurance Policy

• Health insurance in the digital era.
• Integrating telemedicine and digital health into insurance coverage.
• Policy innovations for ageing populations and chronic disease management.
• Aligning health insurance systems with global health goals.

Upon successful completion of this training course, delegates will be awarded a Holistique Training Certificate of Completion. For those who attend and complete the online training course, a Holistique Training e-Certificate will be provided.

Holistique Training Certificates are accredited by the British Accreditation Council (BAC) and The CPD Certification Service (CPD), and are certified under ISO 9001, ISO 21001, and ISO 29993 standards.

CPD credits for this course are granted by our Certificates and will be reflected on the Holistique Training Certificate of Completion. In accordance with the standards of The CPD Certification Service, one CPD credit is awarded per hour of course attendance. A maximum of 50 CPD credits can be claimed for any single course we currently offer.