HIB to be reformed as original Nepali model
Summary
The government is restructuring Nepal’s Health Insurance Board into a one-door, digitally enabled system built around a new original insurance model. Officials say the overhaul will reduce financial burdens, improve hospital reimbursements, and expand coverage to 90 percent of the population within three years.
Key Points
- The Health Insurance Board is being reformed into a one-door system that will integrate programs such as Ama Surakshya, civil servants, the Nepali Army, and Nepal Police.
- Dr. Subash Pyakurel said the board is developing an original Nepali insurance model and will first digitize services, including a new four-digit hotline.
- The government plans an Integrated Payment System to bring fragmented social health security programs under a single payment mechanism and reduce financial leakage.
- The reforms aim to shift the programme toward a contribution-based insurance model while fully subsidizing premiums for poor households, senior citizens, persons with disabilities, and Dalit communities.
