Health System Overview 1

General Health System Facts Several vertically integrated public insurers/providers for different parts of population (social security, low-income, unemployed/self- employed) Universal coverage (through expansion of public insurance schemes) targeted in 2012 Outside social security system, financing mix of MoH and states Actual coverage and medical services provided by social security system and State Health Services Out-of-pocket spending highest in the OECD (49% in 2010) Health policy fragmented, divided between federal and state governments Large private sector (represents 50% of health spending) 2

Health Expenditure TEH 6.2% of GDP in 2010 (latest figures) –3.3% lower than OECD average of 9.5% (2010) 47.3% of total health spending in 2010 public expenditure –OECD average 72% (2010) 3-4% increase in public expenditure as % of TEH since 2005 Annual average growth rate (AAGR) total health expenditure 3.8% per year –OECD average 4.3% AAGR public sector 4.0% per year –OECD average 4.5% Out of pocket spending as % of TEH 49% 2010 –OECD average 19.5 % (2010) 3

Total Expenditure on Health % of GDP, Source: OECD Stat (2012) 4

Public Expenditure on Health, % TEH, Mexico, Source: OECD Stat (2012) 5

AAGR Mexico and OECD Averages, Source: OECD Stat (2012) 6

Public expenditure and out-of-pocket payments, % total expenditure on health, 2010 Source: OECD Stat (2012) 7