The Securities and Exchange Commission of Pakistan has released a report, “Healthcare Ecosystem in Pakistan,” assessing the country’s healthcare ecosystem with a particular focus on the role of health insurance, market stakeholders, and the challenges affecting healthcare delivery and health insurance expansion. The report highlights that Pakistan’s out-of-pocket healthcare spending is 47% of total health expenditure, exceeding Sri Lanka (40%), Malaysia (38%), and China and Indonesia (33%). Linked to the SECP’s five-year strategy “Journey to an Insured Pakistan,” launched in December 2023, it identifies sector bottlenecks and sets out a reform roadmap covering product innovation and inclusivity, conduct and administration, pricing and underwriting, oversight and monitoring, and development of a value-based health insurance ecosystem with greater private-sector participation. The SECP Chairperson underscored the need to integrate primary healthcare with universal health coverage through combined public and private sector participation, while the Commissioner Insurance called for a holistic national strategy with ownership across stakeholders.