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Table 3 Comparison of financial effects of the reform scenarios (MWK million)

From: Assessing the feasibility and appropriateness of introducing a national health insurance scheme in Malawi

Total effect of Scenario 2017/18 2018/19 2019/20 2020/21 2021/22
MOH   0.0 0.0 0.0 0.0 0.0
NHI (all effects)   1050.3 18,942.0 30,512.3 44,068.1 54,195.9
 positive effects: additional revenue 3718.7 4131.2 4564.2 5022.9 5514.6
efficiency gains 11,514.1 25,187.5 36,672.3 49,889.0 59,885.7
 negative effects: administration costs −14,182.5 −10,376.7 −10,724.2 −10,843.8 −11,204.4
Purchaser (all effects) 11,146.1 24,802.5 36,269.0 49,468.1 59,434.0
 positive effects: additional revenue 0.0 0.0 0.0 0.0 0.0
efficiency gains 11,514.1 25,187.5 36,672.3 49,889.0 59,885.7
 negative effects: administration costs −368.1 −385.0 −403.2 −420.9 −451.7