Department of Management, Faculty of Economy, University of Tirana
National Health Insurance Institute, Tirana
Albanian health care system is undergoing comprehensive changes. The paper focuses on the system of contributions for health insurance scheme. The paper will argue the need for immediate measures regarding this issue. Based on the primary and secondary data, through an economic analysis is studying the trend of contributor’s number for five years. Are identified the economic, social and political factors, that affect this process and whole health insurance scheme (HIS). In Albania, partly scheme function, an informal labor market, lack of incentives for participation in health scheme, weak administration capacity for contributions collecting and poor structure, regulatory and supervisor and all in all its funding challenges, are the main factors that accompanies for years the health care system and as the result the contributions system for health insurance. The main economic factor is a little economic growth and a problem with which Albania has already begun to face. As a result Albania faces a greater inequity in the ability to receive health care. In order to evasion of contributions expected path, immediate measures administrative, managerial, and financial monitoring are needed. Mechanisms for revenue collection should be strengthened. Health care reform has been and will remain one of the major challenges of politics in Albania. Full implementation of its efficiency requires a broad political consensus.