A Legislative Framework for Health Care Reform in Macedonia

Short and Long Term Solutions

by Filip Dewallens, Ninez Ponce, John Peabody

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The redrafting of the Republic of Macedonia's Health Care Law launches a fundamental policy change in the principles, intent, scope, and delivery of state-funded health services. Proposed policy priorities need to be made explicit in a legislative, regulatory, and administrative framework, and legislation will be required to establish a new policy framework for the national health insurance program. During research into the legislative framework necessary to implement proposed reforms to the Republic of Macedonia's state-funded health services, RAND looked specifically at the legislative framework necessary to implement reforms. The authors of this summary of preliminary findings propose specific interim solutions for amending the 1991 Health Care Law and offer recommendations for accomplishing more fundamental legislative reform. They conclude that the Health Care Law should be separated into two laws — the Health Insurance Law and the Health Care Law — and present an outline of the organization and elements of these two draft laws.

This report is part of the RAND Corporation draft series. The unrestricted draft was a product of the RAND Corporation from 1993 to 2003 that represented preliminary or prepublication versions of other more formal RAND products for distribution to appropriate external audiences. The draft could be considered similar to an academic discussion paper. Although unrestricted drafts had been approved for circulation, they were not usually formally edited or peer reviewed.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.