ISLAMABAD: The Federal Cabinet has approved the Ehsaas Catastrophic Health Expenditure Policy and Ehsaas Tahafuz through circulation.
Through this policy, Ehsaas Tahafuz, has been approved, which is a fund-based health financing system. Ehsaas Tahafuz will complement the insurance-based Sehat Sahulat programme to ensure universal health coverage and protect people from Catastrophic Health Expenditure. Extensive two-year-long work has been done on Ehsaas Tahafuz which is the country’s first shock-oriented precision safety net.
Ehsaas Tahafuz is primarily premised on coverage principles to complement the government’s existing Sehat Sahulat programme and plug-in any gaps.
The programme has been built keeping in mind five key principles including provision of universal access; catering to only catastrophic expenditures; complementing existing insurance programs; coverage of all essential treatments; and promotion of accountability and improvement.
“Given the current landscape and the importance of protecting the vulnerable, there was a need for a programme to act as a complementary initiative to the health insurance programme, which addresses the gaps to ensure no one falls into poverty due to healthcare expenses. To address this, Ehsaas Tahafuz has been introduced to provide coverage specifically against catastrophic health expenditures to vulnerable communities”, Special Assistant to the Prime Minister on Poverty Alleviation and Social Protection, Dr. Sania Nishtar said while chairing the review meeting of Ehsaas Tahafuz today at Poverty Alleviation and Social Safety Division.
She further described, “Ehsaas Tahafuz will run as per the parameters outlined in this policy to complement Sehat Sahulat to ensure efficient use of public resources and build synergies between complementary programmes.”
The programme works in partnership with public hospitals that identify patients requiring financial support. Patients identified are then assessed by Tahafuz against an eligibility criterion. For eligible patients, hospitals are directly reimbursed for pre-defined treatment costs.
Ehsaas Tahafuz system is paperless, mobile-phone centered and technology-based. Its automated workflows, supply-chain management, tracking and time-shaping, and pre-configured rules for eligibility ascertainment, help overcome abuse and misappropriation of social protection funds. These features have made the system responsive and accountable.
Ehsaas represents a global innovation in health financing where a patient-level purchasing system has been developed at scale.