DIGITAL INTEROPERABILITY AND GOVERNANCE REFORM IN PUBLIC HEALTH SYSTEMS: ENHANCING INSURANCE IMPLEMENTATION IN UZBEKISTAN

Abstract

Digital interoperability and governance efficiency have emerged as decisive factors in the successful implementation of public health insurance systems. Fragmented data infrastructures, administrative silos, and weak institutional coordination often undermine policy effectiveness, particularly in transition economies. This study examines the role of digital health interoperability and governance reform in strengthening Uzbekistan’s state health insurance system. Using healthcare informatics indicators, institutional performance data, and comparative international benchmarks, the research evaluates the impact of digital integration on administrative efficiency, financial transparency, and service accessibility. The findings demonstrate that integrated digital platforms reduce claims processing time by over 60 percent, lower administrative costs by nearly 20 percent, and significantly improve service accountability. The article proposes a comprehensive digital governance framework to enhance system interoperability, patient-centered care, and policy coherence. These insights contribute to the academic literature on health system modernization and provide actionable recommendations for advancing insurance-based healthcare reform in Uzbekistan.