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

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Presentation on theme: "American healthcare reform: Possible lessons for Iran Carol Molinari, PhD Associate Professor University of Baltimore Baltimore, MD US."— Presentation transcript:

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

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3 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

4 Improving Health Indicators* in Iran Indicators Life Expectancy at Birth Infant mortality rate Maternal mortality rate *The World Health Report, 2002, 2004 * Maternal Mortality Surveillance System,2003 Indicators Life Expectancy at Birth Infant mortality rate Maternal mortality rate

5 Improving Health Indicators* in Iran Indicators Life Expectancy at Birth Infant mortality rate Maternal mortality rate *The World Health Report, 2002, 2004 * Maternal Mortality Surveillance System,2003 Indicators Life Expectancy at Birth Infant mortality rate Maternal mortality rate

6 Iran’s health system Hyperinflation of health costs – – 400% increase – 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%

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8 Iran Reform 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 United States Reform Health care plan – – Govt subsidies dependent on individual’s income – Comprehensive coverage Financial incentives to reform – Provider payment – Organization of care


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