Database

Good Practices in Social Security

Database

Good Practices in Social Security

ISSA Database of Good Practices

This database provides ISSA members with privileged access to good practices, showcasing creative, smart and innovative ways to overcome challenges of social security administration at the institutional, national or international levels. Explore, be inspired by, and learn from these hard-earned and well-deserved successes of the ISSA members. Learn more about the ISSA Good Practices.

The map shows the first 100 results for the selected criteria.

Implementation year:
2021
Award Year:
2023
National Social Security Fund
,
Tunisia
,
Africa

The analysis of results recorded by the Tunisian National Social Security Fund (Caisse nationale de sécurité sociale – CNSS), which was created in December 1960 to tackle numerous challenges (ensuring universal social coverage, restoring financial equilibrium, and securing the continuity of systems), exposes discrepancies between the achieved and expected results.

Topic:
Governance and administration
Implementation year:
2021
Award Year:
2023
National Health Insurance Fund
,
Tunisia
,
Africa

Setting up managed entry agreements for innovative medicines is a step forward in Improving access to innovative and costly medicines. They give the Tunisian National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) considerable leverage to negotiate with pharmaceutical laboratories to ensure access for the maximum number of people eligible for the treatment, whilst also guaranteeing the budgetary sustainability of the system.

Topic:
Health
Extension of coverage
Implementation year:
2020
Award Year:
2023
National Health Insurance Fund
,
Tunisia
,
Africa

E-CNAM is a secure responsive web platform that aims to facilitate online access to the various services provided by Tunisia’s National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) by taking a bottom-up approach. This has enabled the implementation and integration of functionalities relating to CNAM benefits via a package of quality digital services tailored to each type of user (with a space for social security beneficiaries and another for health-care providers), and it has consequently enabled these users’ needs to be met.

Topic:
Information and communication technology
Implementation year:
2019
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

In the context of its fight against fraud and social security evasion, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) launched, in April 2019, an IT system enabling the end-to-end automation of the controls process from data collection and the targeting of fraud to the exercising of monitoring tasks and processing of results.

Topic:
Information and communication technology
Error, evasion and fraud
Implementation year:
2019
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

With a view to extending social security coverage to rural women working in agriculture, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) launched a pilot project in July 2019 entitled “Protège-moi” (Protect Me) in conjunction with the ministries of Social Affairs, Women, Agriculture and Communication Technologies; a telecommunications provider (TT); and a private tech start-up.

Topic:
Governance and administration
Information and communication technology
Extension of coverage
Service quality
Implementation year:
2018
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) was founded in 1960 and manages eight social security schemes made up of more than 2.3 million insured parties, 140,000 employees and 800,000 pensioners. Like any agency operating in this field, the CNSS strategy is based around three primary objectives:

Topic:
Governance and administration
Information and communication technology
Service quality
Implementation year:
2018
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

In 2016, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) embarked on a digital transformation of its information system (SI-CNSS). This transformation, inspired by the ISSA Guidelines, breaks down into two phases:

Topic:
Information and communication technology
Service quality
Implementation year:
2017
Award Year:
2017
National Social Security Fund
,
Tunisia
,
Africa

The services of the National Social Security Fund (Caisse Nationale de Sécurité Sociale – CNSS) interact with each other and with other institutions, contributors and insured persons. They exchange data, which are either provided or used by the CNSS information system. These exchanges create standardization and security problems. In light of this, the CNSS has created a computer-based tool that generates automatically and on demand generic, standard and secure Web services in the implementation of its various roles in these exchanges.

Topic:
Service quality
Information and communication technology
Implementation year:
2017
Award Year:
2020
National Health Insurance Fund
,
Tunisia
,
Africa

Tunisia’s National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) was founded in 2004 as part of the country’s health insurance reforms. The collection of compulsory health insurance scheme contributions from public sector workers fell to the National Pension and Social Insurance Fund (Caisse nationale de retraite et de prévoyance sociale – CNRPS). The methods and procedures by which these contributions were then transferred to the CNAM were set out in an agreement between the two funds.

Topic:
Governance and administration
Contribution collection and compliance
Error, evasion and fraud
Implementation year:
2016
Award Year:
2017
National Social Security Fund
,
Tunisia
,
Africa

The National Social Security Fund of Tunisia (Caisse nationale de sécurité sociale – CNSS) is a social security body covering the public service and managing eight schemes with a total of more than 2,250,000 insured members, 135,000 employees, and 690,000 pensioners. It embarked on a reform and modernization of its information system. The reform drew on ISSA Guidelines and involved three specific projects:

Topic:
Information and communication technology
Implementation year:
2014
Award Year:
2014
National Health Insurance Fund
,
Tunisia
,
Africa

The objectives of the National Health Insurance Fund (Caisse nationale d'assurance sociale (CNAM)) are expenditure control and improving the quality of care. Electronic transmission requirements and medical control prerogatives have made it necessary for the CNAM to invest in the automated processing of medical claim forms.

The main objective is the establishment of a decision-support system with a medical knowledge base which would take into account the specificities of each medical claim form.

Topic:
Governance and administration
Information and communication technology
Implementation year:
2014
Award Year:
2023
National Social Security Fund
,
Tunisia
,
Africa

The Tunisian National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) is a public entity that manages private sector social security and has six policlinics (day clinics) across Tunisia: two in Grand Tunis, and one in Bizerte, Sousse, Sfax and Gafsa (Métlaoui) respectively. These policlinics are made up of medical units, laboratories, pharmacies, and haemodialysis units.

Topic:
Governance and administration
Implementation year:
2013
Award Year:
2014
National Health Insurance Fund
,
Tunisia
,
Africa

As part of its quality approach, which promotes remote contact, and after developing its own interactive Internet site (www.cnam.nat.tn) and customer service by freephone, the National Health Insurance Fund (Caisse nationale d'assurance maladie (CNAM)) launched a new, free messaging service in September 2013: SMS CNAM.

This service communicates useful information to insured persons and the health professionals involved in the handling of their files, as well as messaging alerts and any other information about preventive measures.

Topic:
Governance and administration
Service quality
Information and communication technology
Implementation year:
2011
Award Year:
2011
National Pension and Social Insurance Fund
,
Tunisia
,
Africa

This objective of the system, which is based on electronic data interchange with employers, is to bring revenue under control and to produce a real administrative record for insured persons. Through this system, the Fund will be able to monitor the employment record of insured persons and assess their entitlements transparently and accurately.

Topic:
Governance and administration
Contribution collection and compliance
Information and communication technology
Implementation year:
2010
Award Year:
2023
National Social Security Fund
,
Tunisia
,
Africa

Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) is a public company charged with managing social security schemes in the private sector. It comprises a network of 51 regional and local offices, a branch office, six policlinics and an orthopaedic fitting centre. It has three objectives:

Topic:
Information and communication technology
Service quality
Continuity and resilience
Implementation year:
2009
Award Year:
2011
National Pension and Social Insurance Fund
,
Tunisia
,
Africa

With a view to automating the operations involved in managing the files of insured persons, facilitating collaboration between the various services and shifting its business processes to an electronic system, the National Pension and Social Insurance Fund (Caisse nationale de retraite et de prévoyance sociale (CNRPS) decided to digitize all the records of insured persons (existing and new files), store them in an electronic records management system and implement personalized workflows adapted to the business logic.

Topic:
Old-age pensions
Governance and administration
Information and communication technology
Implementation year:
2007
Award Year:
2008
National Pension and Social Insurance Fund
,
Tunisia
,
Africa

The necessary preliminary steps have been taken to obtain the ISO 9000/2001 certificate i.e.:

- the support of the General Administration
- making the management and administrative staff of the fund aware of the effectiveness of the quality programme
- staff training and motivation.

The objectives of the programme are to improve the quality of the services provided, to harmonize procedures, to modernize the infrastructure and to foster the development of a quality culture within the fund based on an up-to-date and secure information technology system.

Topic:
Governance and administration
Risk management
Implementation year:
2021
Award Year:
2023
National Social Security Fund
,
Tunisia
,
Africa

The analysis of results recorded by the Tunisian National Social Security Fund (Caisse nationale de sécurité sociale – CNSS), which was created in December 1960 to tackle numerous challenges (ensuring universal social coverage, restoring financial equilibrium, and securing the continuity of systems), exposes discrepancies between the achieved and expected results.

Topic:
Governance and administration
Implementation year:
2021
Award Year:
2023
National Health Insurance Fund
,
Tunisia
,
Africa

Setting up managed entry agreements for innovative medicines is a step forward in Improving access to innovative and costly medicines. They give the Tunisian National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) considerable leverage to negotiate with pharmaceutical laboratories to ensure access for the maximum number of people eligible for the treatment, whilst also guaranteeing the budgetary sustainability of the system.

Topic:
Health
Extension of coverage
Implementation year:
2020
Award Year:
2023
National Health Insurance Fund
,
Tunisia
,
Africa

E-CNAM is a secure responsive web platform that aims to facilitate online access to the various services provided by Tunisia’s National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) by taking a bottom-up approach. This has enabled the implementation and integration of functionalities relating to CNAM benefits via a package of quality digital services tailored to each type of user (with a space for social security beneficiaries and another for health-care providers), and it has consequently enabled these users’ needs to be met.

Topic:
Information and communication technology
Implementation year:
2019
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

In the context of its fight against fraud and social security evasion, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) launched, in April 2019, an IT system enabling the end-to-end automation of the controls process from data collection and the targeting of fraud to the exercising of monitoring tasks and processing of results.

Topic:
Information and communication technology
Error, evasion and fraud
Implementation year:
2019
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

With a view to extending social security coverage to rural women working in agriculture, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) launched a pilot project in July 2019 entitled “Protège-moi” (Protect Me) in conjunction with the ministries of Social Affairs, Women, Agriculture and Communication Technologies; a telecommunications provider (TT); and a private tech start-up.

Topic:
Governance and administration
Information and communication technology
Extension of coverage
Service quality
Implementation year:
2018
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) was founded in 1960 and manages eight social security schemes made up of more than 2.3 million insured parties, 140,000 employees and 800,000 pensioners. Like any agency operating in this field, the CNSS strategy is based around three primary objectives:

Topic:
Governance and administration
Information and communication technology
Service quality
Implementation year:
2018
Award Year:
2020
National Social Security Fund
,
Tunisia
,
Africa

In 2016, Tunisia’s National Social Security Fund (Caisse nationale de sécurité sociale – CNSS) embarked on a digital transformation of its information system (SI-CNSS). This transformation, inspired by the ISSA Guidelines, breaks down into two phases:

Topic:
Information and communication technology
Service quality
Implementation year:
2017
Award Year:
2017
National Social Security Fund
,
Tunisia
,
Africa

The services of the National Social Security Fund (Caisse Nationale de Sécurité Sociale – CNSS) interact with each other and with other institutions, contributors and insured persons. They exchange data, which are either provided or used by the CNSS information system. These exchanges create standardization and security problems. In light of this, the CNSS has created a computer-based tool that generates automatically and on demand generic, standard and secure Web services in the implementation of its various roles in these exchanges.

Topic:
Service quality
Information and communication technology
Implementation year:
2017
Award Year:
2020
National Health Insurance Fund
,
Tunisia
,
Africa

Tunisia’s National Health Insurance Fund (Caisse nationale d’assurance maladie – CNAM) was founded in 2004 as part of the country’s health insurance reforms. The collection of compulsory health insurance scheme contributions from public sector workers fell to the National Pension and Social Insurance Fund (Caisse nationale de retraite et de prévoyance sociale – CNRPS). The methods and procedures by which these contributions were then transferred to the CNAM were set out in an agreement between the two funds.

Topic:
Governance and administration
Contribution collection and compliance
Error, evasion and fraud
Implementation year:
2016
Award Year:
2017
National Social Security Fund
,
Tunisia
,
Africa

The National Social Security Fund of Tunisia (Caisse nationale de sécurité sociale – CNSS) is a social security body covering the public service and managing eight schemes with a total of more than 2,250,000 insured members, 135,000 employees, and 690,000 pensioners. It embarked on a reform and modernization of its information system. The reform drew on ISSA Guidelines and involved three specific projects:

Topic:
Information and communication technology