Alternative health insurance model in economically developed countries

Abstract

The article explores the potential and dynamics of the non-profit health insurance model, emphasizing its organizational and legal structures, range of services, and factors influencing efficiency and competitiveness. It utilizes various methods, including structural, economic, and statistical analyses, to assess the viability of implementing non-profit insurance within Ukraine's healthcare system, drawing comparisons with practices in Western Europe, the United States, and Japan. Non-profit insurance companies, owned by their clients rather than investors, play a significant global role, accounting for about one-third of annual premiums and serving over 900 million policyholders. These entities blend features of financial and non-profit organizations: they manage statutory and insurance funds for financial operations while prioritizing member benefits over profit. Their unique approach allows for cost-effective premiums, tailored insurance conditions, democratic self-governance, and enhanced accessibility to a broad population. The study highlights the global relevance of non-profit insurance as a counterbalance to commercial insurers, fostering competition and mitigating unjustified price increases. It underscores the potential benefits for Ukraine in adopting this model, leveraging lessons from international practices, while considering national economic and social contexts. Collaborative integration of state, joint-stock, and non-profit insurers is proposed as an optimal solution to meet societal insurance needs. Further research is recommended to design a balanced health insurance mechanism incorporating diverse insurance models.