Évaluation du modèle de gouvernance de la couverture médicale de base au Maroc

INTRODUCTION: the purpose of this study was to evaluate the governance model in basic health insurance coverage in Morocco. The main objective is to identify an evaluation framework and to apply it in the Moroccan model in order to propose recommendations for improvement. METHODS: we conducted a literature review and interviews with representative stakeholders on the basis of a benchmark for evaluation of the governance of basic healthcare coverage (BHC). RESULTS: the governance framework of BHC has undergone several changes since the launch of Law 65-00. Our evaluation has shown that considerable effort is being made given the dimensions: stakeholder involvement and system consistency and stability. However, dimensions such as supervision and regulation, coherence in decision-making structure, and transparency and access to information have structural issues that affect the proper functioning of the system. CONCLUSION: the governance framework of basic healthcare coverage in Morocco requires restructuring and convergence of the management funds for a single organization that centralizes the management. An effort should also be made to implement a regulation coordinated by the National Health Insurance Agency which has shown its limits.