Albanian health care system is undergoing comprehensive changes. The paper focuses on thesystem of contributions for health insurance scheme. The paper will argue the need for immediate measures regarding this issue. Based on the primary and secondary data, through an economic analysis is studying the trend of contributor’s number for five years. Are
identified the economic, social and political factors, that affect this process and whole healthinsurance scheme (HIS). In Albania, partly scheme function, an informal labor market, lack of incentives for participation in health scheme, w
eak administration capacity for contributions collecting and poor structure, regulatory and supervisor and all in all its
funding challenges, are the main factors that accompanies for years the health care system and as the result the contributions system for health insurance. The main economic factor is a little economic growth and a problem with which Alb
ania has already begun to face. As a result Albania faces a greater inequity in the ability to receive health care. In order to evasion of contributions expected path, immediate measures administrative, managerial, and financial monitoring are needed. Mechanisms for revenue collection should be strengthened.Health care reform has been and will remain one of
the major challenges of politics in Albania. Full implementation of its efficiency requires a broad political consensus.