RV: 2020 Edition of Healthcare Enforcement & Litigation Mexico - Food - Mondaq Mexico - Mondaq Business Briefing - Books and Journals - VLEX 807625749

RV: 2020 Edition of Healthcare Enforcement & Litigation Mexico

Author:Mr Alejandro Luna, Armando Arenas and Karla Overa
Profession:OLIVARES
 
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OVERVIEW

Healthcare funding

1 In general terms, how is healthcare, including access to medicines and medical devices, funded in your jurisdiction? Outline the roles of the public and private sectors.

The Mexican healthcare system comprises of public (social security institutions) and private institutions, insurers and independent professionals.

Individuals and private insurers fund the private sector. Private health insurance generally covers professional, executive and higher levels of the private sector. Enrolment in private health insurance has increased considerably over the past six years. According to official figures, up to 50 per cent of annual health spending in Mexico comes from out-of-pocket expenses related to private doctors, insurance and drug acquisitions.

The public sector comprises of:

social security institutions exclusively directed to formal workers, in which the funding comes from contributions by the federal government, the employer and the employee; and public institutions exclusively directed to attend people not covered by social security, in which the funding comes from the federal government, states and patients. The public health sector normally faces financial problems and implements measures to limit costs by, for example, pressing for price reductions in consolidated public tenders (involving the most important health institutions) and encouraging competition.

In the public sector, social security and public institutions provide medicines. However, if the medicine is not available when required, it can be dispensed in a private registered drugstore.

Delivery

2 In general terms, how is healthcare delivered in your jurisdiction? Outline the roles of the public and private sectors.

The public sector comprises of:

social security institutions exclusively directed to formal workers such as the: Mexican Institute of Social Security (IMSS); Institute of Social Security for State Workers (ISSSTE); specialised public institutions for members of the military and navy force (SEMAR); PEMEX Medical Services, for Mexican petroleum workers; and public institutions exclusively directed to attend people not covered by social security, such as the People's Health Insurance and state health institutions. The private sector comprises of private institutions, insurers and independent professionals, the users of which are not restricted.

Key legislation

3 Identify the key legislation governing the delivery of healthcare...

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