A study on the Management of Migrant Health Insurance Scheme for policy making on the Compensation of Medical Services in Migrant Health Insurance Scheme, Ministry of Public Health

Abstract

          This study used parallel mixed methods. The objectives of this study were to study the Compensation of Medical Services in Migrant Health Insurance Scheme, Ministry of Public Health. Results of the study illustrates that the migrants with Migrant Health Insurance Scheme in the fiscal year 2021 amounted to 541,905 people, consisting of 92.39 percent of migrant workers and dependents aged over 7 years, 6.43 percent of dependents aged under 7 years, and 1.18 percent of migrants. All migrants had health insurance cards which divided by Myanmar 64.31 percent, Cambodia 25.44 percent and Laos 9.76 percent. However, the number of registered migrants increased in fiscal year 2022 and decreased in fiscal year 2023. According to the number of migrants’ patient from Migrant Health Insurance Scheme in fiscal year 2021, there were 15,463 in-patients, accounting for 2.85 percent of registered migrant with health insurance. In terms of out-patients, there were 7,620 people, accounting for 1.41 percent of registered migrant with health insurance. Most of migrants’ patient were Myanmar. Nonetheless, the total number of migrants who receiving services decreased in fiscal year 2022 and increased in fiscal year 2023 which is consistent with the medical compensation for them. In case of high expenses from the Migrant Health Insurance Scheme, the highest expenses are the list with RW weight >=4 (63.59 percent and 60.92 percent, respectively) of the in-patients in fiscal year 2021 and 2023. Meanwhile, the highest expenses of out-patients were the list of antiretroviral drugs (ARV drugs) (67.18 percent and 58.75 percent, respectively) in fiscal years 2021 and 2022.