Current Health Expenditure (CHE) as % Gross Domestic Product (GDP)4.4%CHE/GDP
Out-of-pocket (OOPS) spending as % of Current Health Expenditure (CHE)10.5%OOP/CHE
Domestic General Government Health Expenditure (GGHE-D) as % General Government Expenditure (GGE)13.2%GGHE-D/GGE
Gross Domestic Product (GDP), in constant (2020) US$ in millions (M), billions (B), or trillions (T)496BGDP (USD)
Population in thousands (K), millions (M) or billions (B)71.7MPopulation
Timeline
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APD is included in the UCS's benefit package.
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COVID-19 health services are temporarily extended as a benefit package to cover both Thai and non-Thai populations living in Thailand.
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24 rare diseases are included in the UCS's benefit package.
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Disease prevention and health promotion is included in the SSS’s benefit package.
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The Universal Coverage for Emergency Patients (UCEP) Policy is implemented to ensure financial risk protection and equitable access in case of emergency. With UCEP, emergency patients, regardless of health insurance entitlements, can receive treatment without charge at the nearest public or private hospitals.
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A community based long-term care programme is introduced as a benefit package under the UCS, covering all Thai dependent persons.
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The Health Insurance for People with Citizenship Problems is established to cover stateless populations with a benefit package like that of the UCS.
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HD, PD, and KT are included in the UCS's benefit package.
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The National Bargaining and Purchasing Mechanism is established to manage certain essential medical supplies under the UCS.
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HIV/AIDS treatment is included in the UCS's benefit package.
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The Community Health Fund is established as a matching fund between the National Health Security Office and local governments for disease prevention and health promotion activities in communities.
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The initial UCS copayment of 30 baht ( US$ 0.70) per visit or admission ended.
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The Health Insurance Card Scheme, covering cross-border migrant workers in the informal sector and their dependents, is implemented nationwide.
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HD, PD, KT, and HIV/AIDS treatments are included in the benefit package of SSS.
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The UCS adopts a global budget with diagnosis-related group (DRG) payments for inpatient services to enhance cost containment. A few years later, DRG payments are adopted by the CSMBS and SSS.
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The SSS is expanded to include employees in companies with one or more employees.
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Disease prevention and health promotion is included in the UCS as a benefit package covering all Thai people.
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The UCS policy is institutionalized through the enactment of the National Security Act, B.E. 2545, leading to the establishment of the National Health Security Office (NHSO) to manage the UCS and the implementation of a purchaser-provider split.
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Implementation of the UCS is expanded nationwide. Thailand achieves its current-year goals for universal health coverage.
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Thai Health Promotion Foundation Act, B.E. 2544 establishes the Thai Health Promotion Foundation (ThaiHealth) and ThaiHealth's funding through tobacco and alcohol taxes.
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The UCS is launched and replaces the MWS and VHCS. This makes the UCS the largest public health insurance scheme in Thailand. The CSMBS and SSS remain separate from the UCS.
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Implementation of the Universal Coverage Scheme (UCS) begins as a pilot in 21 of Thailand's 76 provinces.
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Hemodialysis (HD), automated peritoneal dialysis (APD), peritoneal dialysis (PD), and kidney transplant (KT) are included in the benefit package of CSMBS.
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The SSS is expanded to include employees in companies with more than 10 employees.
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The SSS introduces capitation payments for both inpatient and outpatient services.
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The SSS is established under the Social Security Act. It is compulsory social insurance for employees in companies with more than 20 employees.
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The Social Security Act, B.E. 2533 is enacted, and the Social Security Office established to manage the Social Security Scheme (SSS).
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The Voluntary Health Card Scheme (VHCS) is established as a voluntary health insurance scheme subsidized by the government to provide financial risk protection for people in the informal employment sector, especially in rural areas.
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The Royal Decree on the CSMBS, B.E. 2523, replaces the first Royal Decree of 1978.
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The CSMBS is established to cover all government officials and retirees, including their dependents (parents, spouses, and children aged under 18).
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The first Royal Decree on the Civil Servant Medical Benefit Scheme (CSMBS), B.E. 2521 is established.
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The Medical Welfare Scheme (MWS) is introduced as social assistance based on means-testing to provide free medical care for people living in poverty, children under 12, people aged 60 years or over, and the disabled.
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