The Chilean government is committed to reforming the health financing scheme set up in the eighties, characterized by risk and income segmentation. There is a need to move towards a universal, comprehensive, and sustainable health system, the financing component of which is fundamental. To contribute elements of comparative analysis to inform Chile’s reform efforts, we reviewed international health reform experiences carried out in similar settings. We used a scoping review methodology. Six countries were included in the analysis: Canada, Denmark, Slovenia, Spain, Estonia, and France. A profile was prepared for each country describing the financing system, the structures in charge of managing the public health insurance system, and the institution responsible for financing and its attributions regarding health care providers. One-hundred and eighty-eight records were identified to create the country profiles. In this article, we narratively analyze the findings, focusing on a) financing (revenue collection and pooling), b) purchaser-provider relationship and payment mechanisms, c) governance of institutional capacities and policies for reform, and d) voluntary private health insurance. For each of these dimensions, we make focused recommendations that could aid the Chilean ongoing effort for health care reform to move towards universal public insurance with a mixed payment mechanism for public and private providers. We also discuss the type of institutional governance required and the transition from mandatory to complementary private insurance.