Singapore has a highly developed healthcare system that provides universal coverage to its population. It utilizes a multi-payer framework consisting of MediShield Life (universal basic health insurance), MediSave (mandatory medical savings accounts), and various government subsidies and safety nets. Recent reforms have focused on expanding long-term care coverage and implementing innovations like telemedicine. Key health indicators show the system is achieving excellent outcomes, with high life expectancy, low infant and child mortality, and low rates of communicable and non-communicable diseases.

1. NATIONAL HEALTH
CARE PROFILE:
SINGAPORE
Presented by: The Chosen Ones
4 February 2021

2. Our
Team
01
02
03
Innocent R.
Mansoor
Innocent B. Gerse
Feryanda

3. Innocent R
01
Student id: 2020552072

4. Population of Singapore
The current population of Singapore is 5,876,902 as of Friday, January 29, 2021,
based on Worldometer elaboration of the latest United Nations data.
Singapore 2020 population is estimated at 5,850,342 people at mid year according
to UN data.
The population density in Singapore is 8358 per Km2 (21,646 people per mi2).
The total land area is 700 Km2 (270 sq. miles)
100% of the population is urban (5,850,342 people in 2020)
The median age in Singapore is 42.2 years.

5. # of population over 65 years’ old

6. Life expectancy at birth in Singapore

7. GDP per capita in Singapore
GDP per capita in Singapore is
expected to reach 58500.00
USD by the end of 2020,
according to Trading Economics
global macro models and analysts
expectations. In the long-term,
the Singapore GDP per capita is
projected to trend around 59500.00
USD in 2021 and 61000.00 USD in
2022, according to our econometric
models.

8. # of total physicians and # of doctor per 1,000 population

9. # of total nurse

10. Innocent B
02
Student id: 2020552077

11. Nurses, bed rate, ICU beds rate and global health expenditure
7.5 nurses in 2019
Bed rate: 2.4 beds/1000
ICU: 11.4 beds/100.000
Health expenditure:4.4%
Total health expenditure

12. Health Insurance
• Singapore has a multipayer health care financing framework, where a single treatment
episode might be covered by multiple schemes and payers, often overlapping. The system,
known as the 3Ms
• MediShield Life, a universal basic health care insurance, is mandatory for citizens and
permanent residents and provides lifelong protection against large hospital bills and select
costly outpatient treatments. It was launched in 2015 to replace MediShield, an opt-out
catastrophic illness insurance scheme.
• MediSave, a national medical savings scheme, helps cover out-of-pocket payments.
Personal and employer salary contributions (8%–10.5%, depending on age) to MediSave
accounts are mandatory for all working citizens and permanent residents.

13. Health Care Insurance
• These tax-exempt, interest-bearing (currently 4% to 5%) accounts can be used to pay for
family members’ health care expenses.
• MediFund is the government’s safety net for needy Singaporeans who cannot cover their
out-of-pocket expenses, even with MediSave.
• There are also private insurance options, offered by for-profit insurers, that are not integrated
with MediShield Life. Premiums for these other insurance options cannot be paid from
MediSave. Many employers also extend medical benefits to their employees.

14. Typical patient copayments and safety nets

15. Claim limits

16. Claims limits

17. Premiums are paid annually by people based
on income and ages

18. Premium and subsidies
• Premium and subsidies for the lower to middle-income:available to lower and middle-income
income familes with household monthly income per person of 2,800 dollars and below and
living in residence with an annual value of 21,000 dollars and below receive subsidies of up
50% for their premiums
• Pioneer Generation subsidies and Medi save top-ups receive between 40-60% depending on
age
• Merdika Generation senior receive 55 of their annual Medishield life premium and also
receive 200$ a year for Medisave top-ups

19. Gerse
03
Student id: 2020552071

21. HEALTH SERVICE DELIVERY SYSTEM
Singapore’s healthcare delivery system provides population with
 Primary care (provides dental, psychiatric, and allied health services. It has a strong
focus on chronic-disease management.)
 Out patient specialist care
 Hospital-care
 Mental health care (provides acute tertiary psychiatric, rehabilitative, and counselling
services for children, adolescents, adults, and the elderly.)
 Long-term care and social supports:
 Center-based services
 Home-based services
 Long-term residential facilities.
 Telemedicine and mobile medicine

22. UNDER-FIVE MORTALITY RATE
In 2020, under-5
mortality rate for
Singapore was 1.85
deaths per thousand
live births.
Under-5 mortality
rate of Singapore fell
gradually from 25.97
deaths per thousand
live births in 1971 to
1.85 deaths per
thousand live births
in 2020.

23. INFANT MORTALITY RATE
 In 2019, the infant
mortality rate in
Singapore was
approximately 1.7
deaths per 1,000 live
births.
 The low infant mortality
rate can be attributed
to a good health-care
system that is
accessible to the
majority of the
population.

25. Mansoor
04
Student id: 2020552065

26. Common types of Cancer in Singapore
• In Singapore, about 39 people are diagnosed with cancer every day, 15 people die of cancer every
day, and 1 in 4 people may develop cancer in their lifetime.
• The good news is, with early detection and treatment, you can have better clinical/management
outcomes.

27. Common types of Cancer in Singapore…

32. What major innovations and reforms have recently been
introduced?
In late 2017, the Ministry of Health launched its Beyond Healthcare 2020 strategy to
move more care to the community, encourage health promotion, and ensure value.
In 2018, the ministry launched the Licensing Experimentation and Adaptation
Program, a regulatory “sandbox” for identifying and understanding new health care
innovations, such as telemedicine and mobile medicine, through industry
partnerships. The program seeks to develop an appropriate regulatory approach to
facilitate such innovations while prioritizing patient safety and welfare.

33. To provide better protection against long-term care costs, the ministry launchd CareShield Life
in 2020 to replace ElderShield. The new scheme has higher cash payouts, starting at SGD 600
(USD 438) and increasing over time. There is no cap on payout for as long as the policy holder
remains severely disabled. CareShield Life are mandatory for citizens and permanent residents
born in or after 1980. In addition, people with severe disabilities can withdraw up to SGD 2,400
(USD 1,752) per year, or SGD 200 (USD 146) per month, from their own and their spouse’s
MediSave account for their long-term care needs, after setting aside a minimum amount for
other health care needs.

34. What major innovations and reforms have recently
been introduced?
The ministry has also started to bundle payments to facilitate care
transformation and reward efficiency. And it has implemented a
pay-for-performance framework to reward the three public
health care clusters that do well on key priorities, such as reducing
hospital-acquired infections, managing length of stay, and
minimizing waiting time for specialist appointments.

35. Feryanda
Utami
Student id: 2020552075

36. SINGAPORE
● $4,270 healthcare spending
per capita
(https://www.commonwealthfund.org/sites/default/files/
2020-12/2020_ IntlOverview_ SING.pdf. December
2020)

37. SINGAPORE Successful Outcomes in
Achieving UHC by 2030
● Singapore’s healthcare system ranks
among the best in the world in terms
of infant mortality rate, longevity,
disability adjusted years, etc.

38. LONGEVITY The life expectancy for Singapore in 2020
was 83.66 years, a 0.16% increase from 2019.
INDICATORS
INFANT M.R approximately 1.7 deaths per 1,000 live births
D.A.L.Y
Singapore's age-standardised DALY rate in
2019 was 15,045 per 100,000 population

39. GOVERNMENT PLAN AND POLICIES
TO IMPROVE:
Health Financing: maintaining affordability of OOP
charges. Private share of spending large, 55 per cent of it
and not private insurance (compared to the average of 13
per cent for high-income countries).

40. GOVERNMENT PLAN AND POLICIES
TO IMPROVE:
Health Care Service Delivery & Patient Satisfaction:
Integration of private providers; provide community
care: Centre-based service, Residential-based
Service, and Home-based Care

41. GOVERNMENT PLAN AND POLICIES
TO IMPROVE:
HC service effectiveness and efficiencies :
Singapore has attained one of the most successful
systems in terms of delivery of excellent healthcare
services as well as the efficiency and effectiveness. It is
achieved through the joint responsibilities among
government, individuals and employers.

42. An AI Toolkit
As its population ages, Singapore is putting
greater focus on healthcare innovation, and
reconsidering how it approaches healthcare
management.
Build up The Smart Nation initiative, which was
launched in 2014, aims at responding to these
challenges, with assistive technology and
robotics to help seniors or people with
disabilities, or with the creation of HealthHub, a
digital healthcare portal.
Healthcare bills are rising for both patients and
the government. Singapore plans to spend
S$10.2 billion on healthcare this year – more
than double the figure in 2010 (S$4 billion).

43. FUTURE INVESTMENT
Provide Healthcare Graduate
Studies Award for Singapore Citizen
 This postgraduate scholarship is
awarded to individuals who are keen
to join the public healthcare sector
while demonstrating academic
excellence and community spirit.

44. RECENT REFORMS
Beyond Healthcare 2020 strategy
Licensing Experimentation and Adaptation Program to implement
health care innovations
Provide better protection against long-term care costs
Launched ElderFund in 2020

45. REFERENCES:
• Ramesh, M., & Bali, A. S. The Remarkable Healthcare Performance in Singapore.
In Great Policy Successes (pp. 42-62). Oxford University Press.
• Earn, L.C. (2020). International profiles of health care systems 2020: The Singaporean
Health Care System.
• healthcarescholarships.sg/about-us/singapore-public-healthcare. Copyright 2021.
© MOH Holdings Pte Ltd
• https://govinsider.asia/inclusive-gov/singapores-healthcare-revolution-ai-key/.
Accessed on February 2nd, 2021.

46. REFERENCES:
• https://www.commonwealthfund.org/international-health-policy-
center/countries/Singapore
• https://singaporefinancialplanners.com/blog/health-insurance-singapore/
• Ministry of Health Singapore, “Health Facilities,” https://www.moh.gov.sg/resources-
statistics/singapore-health-facts/health-facilities.
• https://www.singstat.gov.sg/modules/infographics/population
• https://www.moh.gov.sg/resources-statistics/singapore-health-facts/health-manpower
• https://knoema.fr/atlas/Singapour/topics/Sant%c3%a9/D%c3%a9pense-de-
sant%c3%a9/D%c3%a9pense-de-sant%c3%a9-percent- of-GDP
• Critical Care Bed Capacity in Asian Countries and Regions. Article in Critical Care
Medicine · January 2020 Jason Phua and al.

47. • WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population
Division. Trends in Maternal Mortality: 2000 to 2017. Geneva, World Health
Organization, 2019.
https://data.worldbank.org/indicator/SH.STA.MMRT?end=2017&locations=SG&s
tart=2000&view=chart
• https://www.statista.com/statistics/624889/singapore-infant-mortality-rate/
• https://knoema.com/atlas/Singapore/topics/Demographics/Mortality/Infant-
mortality-rate
• https://www.moh.gov.sg/home/our-healthcare-system
• https://www.commonwealthfund.org/international-health-policy-
center/countries/singapore

48. • https://www.singaporecancersociety.org.sg/learn-about-cancer/cancer-basics/common-
types-of-cancer-in-singapore.html
• https://www.who.int/cancer/country-profiles/SGP_2020.pdf
• https://qz.com/1121194/the-3-factors-that-make-singapores-health-system-the-envy-of-the-
west/
• https://www.who.int/healthinfo/UHC_Meeting_Singapore_Sep2013_Report.pdf
• https://www.todayonline.com/commentary/understanding-changes-singapores-healthcare-
system-last-decade
• https://www.commonwealthfund.org/international-health-policy-center/countries/singapore

49. THANK YOU..