Analysis of healthcare financing models in the Russian Federation and the United States: prospects for implementing effective principles in the Republic of South Ossetia.
Authors:   Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S. M. Kirov» of the Ministry of Defense of the Russian Federation, Naniev S. O. ,   ANO DPO “Moscow Medical and Social Institute named after F. P. Gaas», Makiyev R. G. ,   Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S. M. Kirov» of the Ministry of Defense of the Russian Federation, Karailanov M. G. ,   Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S. M. Kirov» of the Ministry of Defense of the Russian Federation,   Federal State Budgetary Educational Institution of Higher Education «St. Petersburg State Pediatric Medical University» of the Ministry of Health of the Russian Federation, Akhmineeva A.Kh. ,   Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S. M. Kirov» of the Ministry of Defense of the Russian Federation, Zakurdaev V. V. ,   Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S. M. Kirov» of the Ministry of Defense of the Russian Federation
Published: February 2025

The article presents analysis of healthcare financing models in the Russian Federation and the United States, with an emphasis on identifying optimal approaches that could be adapted for the effective functioning of the healthcare system in the Republic of South Ossetia. The relevance of the study is determined by the need to improve the financial mechanisms of healthcare in the region, which is driven by the growing demand for medical services, limited government resources, and the need to enhance the quality of healthcare while optimizing costs.
The study examines the characteristics and key features of the organizational and financial models of healthcare in both countries, including mechanisms of public and private financing, the role of mandatory health insurance, and the interaction between public and private healthcare structures. Special attention is paid to the differences in the level of healthcare funding and access to medical services in the USA and Russia, as well as the implications of these differences for the quality of service and the overall efficiency of healthcare systems.
The main objective of the article is to analyze the applicability of existing healthcare financing approaches in the context of the economic and social conditions of the Republic of South Ossetia. The study explores the potential for implementing successful elements of financial models, such as mandatory health insurance systems, private healthcare institutions, and innovative forms of public-private partnerships, which could form the basis for the sustainable development of the region’s healthcare system.
The research findings confirm that integrating advanced healthcare financing methods, based on the principles of efficiency, accessibility, and social justice, could significantly improve the quality of medical care in the Republic of South Ossetia. The article provides recommendations for adapting successful practices from Russia and the USA, considering the political and economic characteristics of the region. The implementation of these principles is expected to increase the financial stability of the healthcare system, improve the accessibility and quality of healthcare for the population, and enhance citizens’ satisfaction with the performance of healthcare institutions.