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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