Universal Health Coverage (UHC) is a comprehensive health insurance program that helps families in need get and pay for coverage for their children. It is designed to move away from health systems that are focused on diseases and institutions, and instead focus on people and their health needs. UHC provides health care services through certain doctors, hospitals, and other health care providers to offer a variety of services to plan members. When joining a managed care plan, the member chooses a doctor from an extensive list of doctors in the network.
Managed care plans require approval for certain services, such as surgery, drugs not covered, ongoing care for specific services, or the exception to a benefit plan. The Pan American Health Organization Strategy for Universal Access to Health and Universal Health Coverage provides the framework for revitalizing efforts to achieve “health for all, everywhere.” It outlines the principles necessary to sustain such a system, including its ability to respond fairly and efficiently to the health needs of citizens; the responsibility and responsibility of governments; sustainability; participation; an orientation towards the highest standards of quality and safety; and intersectoral action. The phrase “authorized to practice in the state” means that the provider must be authorized to diagnose and treat physical or mental health conditions. Despite great advances, people in the region still face barriers to achieving the highest possible level of health and well-being.
Therefore, the member can choose coverage at the “point of service” (or POS) when they need medical care. The World Health Organization (WHO) is helping countries redirect their health systems to Primary Health Care (PHC) as a key means to achieve universal health coverage, Sustainable Development Goal 3 (SDG 3), and health security. In the past, attempts have been made to pass health care reform but have been rejected by the Republican-controlled House of Representatives and Senate.