Private health insurance: second-best or second-worst solution? Sarah Thomson EHMA VHI MASTERCLASS Milan, 27 June 2013

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Private health insurance: second-best or second-worst solution? Sarah Thomson EHMA VHI MASTERCLASS Milan, 27 June 2013"

Transcription

1 Private health insurance: second-best or second-worst solution? Sarah Thomson EHMA VHI MASTERCLASS Milan, 27 June 2013

2

3 VHI as a policy tool Policy goals Research findings Policy design Regulation Over to you

4 Policy goals

5 Policy goals for VHI relieve fiscal pressure without undermining access address gaps in coverage keep the rich happy other goals? Insurance trumps out-of-pocket payment!

6 What role for VHI? Market driver VHI role VHI covers Examples population coverage substitutive groups excluded or opting out Germany service coverage complementary (services) excluded services Netherlands cost coverage complementary (user charges) statutory user charges France consumer satisfaction supplementary faster access & consumer choice Ireland Role matters: interactions, regulation, impact on health system performance Source: Mossialos and Thomson (2004), Foubister et al (2006)

7 Is VHI the right policy tool? does it cover important gaps? do those who need it have access to it? does it undermine value in public spending on health? does it make those who rely on statutory coverage worse off? does it contribute to achieving health system goals?

8 Research findings

9 Key research findings large variation in VHI role, policy design, market size, impact across countries complex interactions with publicly financed care, importance of context generally unlikely to relieve fiscal pressure policy design as important as regulation great expectations not backed by evidence Source: EC 2002, OECD 2004, EC 2009, Thomson and Mossialos (eds) 2013 forthcoming

10 Very few large VHI markets globally Countries in which VHI = >10% of total health spending (2009) Source: WHO data

11 France Slovenia Germany Ireland Cyprus Neths Spain Austria Belgium Portugal Lux Malta Hungary Greece Finland Denmark UK Italy Latvia Lithuania Bulgaria Estonia Sweden Czech Poland Romania Slovakia Source: Thomson and Sagan 2013 forthcoming Large variation in market size: spending & coverage VHI as % of total health spending, EU 2009 % of population covered by VHI, EU

12 Source: WHO data VHI ranked by % of private spending on health (from low to high) in 2009 shows VHI does not do well in filling gaps in coverage economic crisis has not changed this

13 VHI may undermine health system performance Draws resources from public system: risk segmentation skews distribution of public resources tax subsidies not self-financing Conditional sale restricts choice of insurer Little evidence of superior efficiency of private insurers (administration, purchasing) Source: Thomson 2013 forthcoming, Thomson and Mossialos (eds) 2013 forthcoming

14 Source: Mielck and Helmert 2006, Schneider 2003, Lungen et al 2008 Risk segmentation (Germany) Prevalence of: Public plan VHI People aged % 11% Chronic disease* 23% 11% Self-reported poor health* 21% 9% GP contact* 81% 55% Specialist contact (outpatient) 47% 45% Difficulty paying for outpatient Rx* 26% 7% Waiting time for gastroscopy 36 days 12 days *Statistically significant after controlling for differences in age, gender and income

15 Source: Perronin et al 2011; data for 2008 Skewed distribution: variation in health status by VHI status (France) VHI CMU-C VHI No VHI Average to very poor health Chronic condition Functional limitation

16 Source: Perronin et al 2011; data for 2008 Skewed distribution: variation in use of health care by VHI status (France) VHI CMU-C VHI No VHI % visiting a GP or specialist or foregoing care in the last 12 months; % visiting a dentist in the last 24 months GPs Dentists Specialists Foregone care

17 Source: Thomson and Mossialos 2009; data for 2006 VHI admin costs as % of premium income % IT NL IE US AT PT UK EL DK FR SI FI LU ES DE PL

18 Risks with VHI VHI may not address important coverage gaps and may create new challenges VHI may exacerbate fiscal pressure (especially substitutive VHI) VHI may undermine value in public spending the larger the market, the larger the challenges Source: Thomson 2013 forthcoming, Thomson and Mossialos (eds) 2013 forthcoming

19 Policy design

20 Design issues what role for VHI? who should offer VHI (and will they want to)? how to ensure take up / accessibility? how to regulate the market? how to avoid undermining value in public spending?

21 Regulation

22 Regulatory goals, approaches, examples Goal Approach Examples Consumer protection Financial solvency margins reporting requirements Material marketing practice relations with providers Access Material open enrolment lifetime cover community rating premium review, approval, caps mandated (minimum) benefits prohibit exclusion of preexisting conditions Source: Chollet and Lewis 1997

23 Is regulation for access necessary? Is VHI covering important gaps in coverage? NO? Then focus on consumer protection: transparency, product differentiation YES? Then who should regulate what and how? Nature of regulation affected by role, market structure, politics, capacity, legal constraints Source: Chollet and Lewis 1997, Thomson and Mossialos 2009

24 So what to do? DON T think of VHI in isolation DO anticipate interactions with the health system DO focus on design not just regulation DO match regulation to role and goals DO anticipate constraints to regulation DO monitor the market and its effects

25 Over to you

26 Key messages Caution: expectations not generally matched by evidence Clarity about policy goals Complementarity: how best to combine public and private resources to achieve goals Careful policy design: align incentives; anticipate and minimise risks Capacity for regulation and oversight

27 Who should regulate what? Ministry of Finance or Ministry of Health? MOF in most EU countries (national financial market authority) but health expertise vital Health-specific regulation of for-profits is rare (Finland, Ireland, Spain, Italy, Slovenia only) Same framework for all insurers? Separate framework for non-profits in some EU countries (Belgium, France, Ireland, Lux) is problematic National regulation does not go beyond EU requirements (solvency) in half of EU countries Source: Thomson and Mossialos 2009

28 Access rules in EU VHI markets Regulation Open enrolment, lifetime cover Prohibition of age limits Community-rated premiums Risk equalisation Premium caps Cover of pre-existing conditions Minimum benefits User charges cap Countries Belgium, Ireland, Slovenia, Germany (basic substitutive policy only) None Non-profits only: Belgium, Estonia, Hungary All: Ireland, Slovenia Ireland, Slovenia Germany (basic substitutive policy only) Non-profits only: Belgium All: Ireland Ireland, Germany (basic policy only) Germany (basic policy only)

29 Alternatives to access rules norms: historical patterns of behaviour (France), voluntary agreements (Netherlands) market structure: restrict market entry, allow public insurer(s) to sell VHI (Slovenia) financial incentives: tax exemptions (France) differential treatment of insurers outlawed under EU law market maturity and incentive environment a better predictor of insurer behaviour than legal status Source: Thomson 2013 forthcoming

30 Substitutive VHI? Requirements design: exclusion not opt out regulation: for affordable access political will Risks risk segmentation + loss of contributions = no fiscal relief financial protection + equity concerns EU legal challenges A near extinct species! Regulation intensified in Netherlands, Germany

31 Complementary VHI covering user charges? Requirements high user charges regulation (& subsidies) for affordable access how to avoid undermining value in public spending? Risks financial + equity + efficiency concerns EU legal challenges to public policy to secure access (France, Slovenia) Large markets very rare! Regulation has intensified over time

32 Complementary VHI covering excluded services? Requirements technical, financial resources for priority setting, HTA political will to define statutory benefits Risks no market will develop financial protection + equity concerns (Canada) conditional sale undermines competition (Netherlands, Switzerland) Large markets very rare! Insurers may not develop products unless there is significant population coverage to spread risk

33 Source: Monheit 2003 and Berk and Monheit 2001 Distribution of US health spending 0% 1% 5% 10% $56,459 27% 50% 50% 55% Average annual expenditure 69% 100% US population $155 97% Total health expenditure

34 Some basics Uncertainty and insurance insurance trumps out-of-pocket payment Value-based insurance design it does not make economic sense to deter people from using high-value care value should be clearly signalled Policy design aligning incentives

35 Questions for discussion What role should VHI play? Who should offer it (i.e.: the type of actor, such as statutory, private, voluntary)? How to support uptake in practice (thinking about why existing needs aren't being met through VHI at the moment)? and on this basis, what regulation is needed to make it work? 35

Voluntary health insurance and health care reforms

Voluntary health insurance and health care reforms Voluntary health insurance and health care reforms Sarah Thomson Senior Research Fellow, European Observatory Deputy Director, LSE Health IMF conference, Paris, 21 st June 2011 Health financing policy

More information

Private health insurance

Private health insurance Private health insurance Elias Mossialos Professor of Health Policy, LSE Health What is VHI? Health insurance that is taken up and paid for at the discretion of individuals or employers (including the

More information

Comparison of annuity markets (OECD National Annuity Markets: Features and Implications, Rusconi 2008) Mercer

Comparison of annuity markets (OECD National Annuity Markets: Features and Implications, Rusconi 2008) Mercer May 2009 Retirement Income/Annuities Around the World What US Policy Makers Might Learn Barbara Marder, Baltimore Global Defined Contribution Consulting Leader www.mercer.com 1 Comparison of annuity markets

More information

Public / private mix in health care financing

Public / private mix in health care financing Public / private mix in health care financing Dominique Polton Director of strategy, research and statistics National Health Insurance, France Couverture Public / private mix in health care financing 1.

More information

INNOBAROMETER 2015 - THE INNOVATION TRENDS AT EU ENTERPRISES

INNOBAROMETER 2015 - THE INNOVATION TRENDS AT EU ENTERPRISES Eurobarometer INNOBAROMETER 2015 - THE INNOVATION TRENDS AT EU ENTERPRISES REPORT Fieldwork: February 2015 Publication: September 2015 This survey has been requested by the European Commission, Directorate-General

More information

EUROPE 2020 TARGETS: RESEARCH AND DEVELOPMENT

EUROPE 2020 TARGETS: RESEARCH AND DEVELOPMENT EUROPE 2020 TARGETS: RESEARCH AND DEVELOPMENT Research, development and innovation are key policy components of the EU strategy for economic growth: Europe 2020. By fostering market take-up of new, innovative

More information

SURVEY ON THE TRAINING OF GENERAL CARE NURSES IN THE EUROPEAN UNION. The current minimum training requirements for general care nurses

SURVEY ON THE TRAINING OF GENERAL CARE NURSES IN THE EUROPEAN UNION. The current minimum training requirements for general care nurses SURVEY ON THE TRAINING OF GENERAL CARE NURSES IN THE EUROPEAN UNION This survey serves as a background document for the discussion of the Commission's legislative proposal to modernize the minimum requirements

More information

Study on comparison tools and third-party verification schemes

Study on comparison tools and third-party verification schemes Justice and Consumers Study on comparison tools and third-party verification schemes ECCG 25/03/2015 Julien Brugerolle JUST E6 Introduction Study objectives Explore consumer behavioural patterns in the

More information

Implementing the cooperation mechanisms of the RES directive current status and open questions

Implementing the cooperation mechanisms of the RES directive current status and open questions Implementing the cooperation mechanisms of the RES directive current status and open questions Corinna Klessmann, Ecofys Germany RE-SHAPING Workshop, Vilnius, 16.05.2011 Supported by Intelligent Energy

More information

http://mig.tu-berlin.de

http://mig.tu-berlin.de Voluntary health insurance in Europe a structured introduction into objectives and status-quo Reinhard Busse, Prof. Dr. med. MPH FFPH Dept. Health Care Management, Technische Universität Berlin (WHO Collaborating

More information

ENTERING THE EU BORDERS & VISAS THE SCHENGEN AREA OF FREE MOVEMENT. EU Schengen States. Non-Schengen EU States. Non-EU Schengen States.

ENTERING THE EU BORDERS & VISAS THE SCHENGEN AREA OF FREE MOVEMENT. EU Schengen States. Non-Schengen EU States. Non-EU Schengen States. ENTERING THE EU BORDERS & VISAS THE SCHENGEN AREA OF FREE MOVEMENT An area without internal borders where EU citizens and non-eu nationals may move freely EU Schengen States Non-Schengen EU States IS Azores

More information

Joint Research Centre (JRC) Economic Analysis of Electronic Identification (EID) of Small Ruminants in Member States

Joint Research Centre (JRC) Economic Analysis of Electronic Identification (EID) of Small Ruminants in Member States 1 Joint Research Centre (JRC) Economic Analysis of Electronic Identification (EID) of Small Ruminants in Member States IPSC - Institute for the Protection and Security of the Citizen Ispra - Italy http://ipsc.jrc.ec.europa.eu/

More information

THE ROLE OF PUBLIC SUPPORT IN THE COMMERCIALISATION OF INNOVATIONS

THE ROLE OF PUBLIC SUPPORT IN THE COMMERCIALISATION OF INNOVATIONS Flash Eurobarometer THE ROLE OF PUBLIC SUPPORT IN THE COMMERCIALISATION OF INNOVATIONS REPORT Fieldwork: January February 2014 Publication: May 2014 This survey has been requested by the European Commission,

More information

VOLUNTARY HEALTH INSURANCE AS A METHOD OF HEALTH CARE FINANCING IN EUROPEAN COUNTRIES

VOLUNTARY HEALTH INSURANCE AS A METHOD OF HEALTH CARE FINANCING IN EUROPEAN COUNTRIES VOLUNTARY HEALTH INSURANCE AS A METHOD OF HEALTH CARE FINANCING IN EUROPEAN COUNTRIES Marta Borda Department of Insurance, Wroclaw University of Economics Komandorska St. No. 118/120, 53-345 Wroclaw, Poland

More information

European Research Council

European Research Council ERC Starting Grant Outcome: Indicative statistics Reproduction is authorised provided the source ERC is acknowledged ERCEA/JH. ERC Starting Grant: call Submitted and selected proposals by domain Submitted

More information

IMMIGRATION TO CANADA

IMMIGRATION TO CANADA NOTE: IMMIGRATION TO CANADA 1928-1971 RANK COUNTRY OF ORIGIN TOTALS 1 United Kingdom * 1152415 2 United States of America 527346 3 Italy 471940 4 Germany 370641 5 Netherlands 185664 6 Poland 117244 7 Greece

More information

INTRODUCTION... 2. I. Participation in the 2014 European elections... 3

INTRODUCTION... 2. I. Participation in the 2014 European elections... 3 ?? Directorate-General for Communication PUBLIC OPINION MONITORING UNIT 2014 EUROPEAN ELECTIONS DESK RESEARCH Brussels, April 2015 Profile of voters and abstainees in the European elections 2014 INTRODUCTION...

More information

INNOVATION IN THE PUBLIC SECTOR: ITS PERCEPTION IN AND IMPACT ON BUSINESS

INNOVATION IN THE PUBLIC SECTOR: ITS PERCEPTION IN AND IMPACT ON BUSINESS Flash Eurobarometer INNOVATION IN THE PUBLIC SECTOR: ITS PERCEPTION IN AND IMPACT ON BUSINESS REPORT Fieldwork: February-March 22 Publication: June 22 This survey has been requested by the European Commission,

More information

ERMInE Database. Presentation by Nils Flatabø SINTEF Energy Research. ERMInE Workshop 2 - Northern Europe Oslo, 1. November 2006

ERMInE Database. Presentation by Nils Flatabø SINTEF Energy Research. ERMInE Workshop 2 - Northern Europe Oslo, 1. November 2006 ERMInE Database Presentation by Nils Flatabø SINTEF Energy Research ERMInE Workshop 2 - Northern Europe Oslo, 1. November 26 Overview Content of the Ermine Database Electronic Questionnaire RTD&D Data

More information

Dublin, March 2013. EPSO Network of Experts in the field of Personnel Selection 14th March 2013

Dublin, March 2013. EPSO Network of Experts in the field of Personnel Selection 14th March 2013 Dublin, March 2013 EPSO Network of Experts in the field of Personnel Selection 14th March 2013 On-going and upcoming competitions AD2012 by Citizenship AD2012 Citizenship %EU Population validated application

More information

OVERVIEW OF PURCHASE AND TAX INCENTIVES FOR ELECTRIC VEHICLES IN THE EU

OVERVIEW OF PURCHASE AND TAX INCENTIVES FOR ELECTRIC VEHICLES IN THE EU 01.04.2014 OVERVIEW OF PURCHASE AND TAX INCENTIVES FOR ELECTRIC VEHICLES IN THE EU This table provides an overview of the incentives that are granted in the Member States of the European Union for the

More information

Hungary s labour market indicators continue to improve

Hungary s labour market indicators continue to improve Hungary s labour market indicators continue to improve Employment rate higher again in Hungary According to the latest data, the positive trend regarding growth in the number of people in employment has

More information

European Research Council

European Research Council ERC Advanced Grants 2011 Outcome: Indicative Statistics Reproduction is authorised provided that the source ERC is acknowledged NB: In these graphs grantee refers to a candidate selected for ERC funding

More information

THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA

THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA Eriks Mikitis Ministry of Health of the Republic of Latvia Department of Health Care Director General facts, financial resources Ministry

More information

EUROPEAN AREA OF SKILLS AND QUALIFICATIONS

EUROPEAN AREA OF SKILLS AND QUALIFICATIONS EUROPEAN AREA OF SKILLS AND QUALIFICATIONS REPORT Fieldwork: April - May 2014 Publication: June 2014 This survey has been requested by the European Commission, Directorate-General for Education and Culture

More information

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50.

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50. Overall Results Climate Change Performance Index 2012 Table 1 Rank Country Score** Partial Score Tendency Trend Level Policy 1* Rank Country Score** Partial Score Tendency Trend Level Policy 21 - Egypt***

More information

User language preferences online. Analytical report

User language preferences online. Analytical report Flash Eurobarometer 313 The Gallup Organization Flash Eurobarometer European Commission User language preferences online Analytical report Fieldwork: January 2011 Publication: May 2011 This survey was

More information

Monitoring the social impact of the crisis: public perceptions in the European Union (wave 6) REPORT

Monitoring the social impact of the crisis: public perceptions in the European Union (wave 6) REPORT Eurobarometer Monitoring the social impact of the crisis: public perceptions in the European Union (wave 6) REPORT Fieldwork: December 2011 Publication: April 2012 This survey has been requested by Directorate-General

More information

ERASMUS+ MASTER LOANS

ERASMUS+ MASTER LOANS ERASMUS+ MASTER LOANS Erasmus+ Master Loan: opening up access to more affordable lending for cross-border studies The Erasmus+ programme makes it possible for students who want to take a full Masters level

More information

EUROPEAN YOUTH: PARTICIPATION IN DEMOCRATIC LIFE

EUROPEAN YOUTH: PARTICIPATION IN DEMOCRATIC LIFE Flash Eurobarometer EUROPEAN YOUTH: PARTICIPATION IN DEMOCRATIC LIFE REPORT Fieldwork: April 2013 Publication: May 2013 This survey has been requested by the European Commission, Directorate-General for

More information

Finance Office. Place of supply of rules

Finance Office. Place of supply of rules Finance Office Place of supply of rules Contents 1. Introduction 2. Sales - Supply of services 2.1 Business or Consumer 2.2 Place of belonging 2.3 General rules 2.4 Exceptions applying to the general rules

More information

ERASMUS+ MASTER LOANS

ERASMUS+ MASTER LOANS Ref. Ares(2015)660570-17/02/2015 ERASMUS+ MASTER LOANS Erasmus+ Master Loan: opening up access to more affordable lending for cross-border studies The Erasmus+ programme makes it possible for students

More information

CO2 BASED MOTOR VEHICLE TAXES IN THE EU IN 2015

CO2 BASED MOTOR VEHICLE TAXES IN THE EU IN 2015 CO2 BASED MOTOR VEHICLE TAXES IN THE EU IN 2015 COUNTRY AT (AUSTRIA) BE (BELGIUM) BG (BULGARIA) CO2/FUEL CONSUMPTION TAXES A fuel consumption tax (Normverbrauchsabgabe or NoVA) is levied upon the first

More information

Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women

Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women 75/2015-27 April 2015 Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women Among the 44.1 million persons in the European Union

More information

Our patent and trade mark attorneys are here to help you protect and profit from your ideas, making sure they re working every bit as hard as you do.

Our patent and trade mark attorneys are here to help you protect and profit from your ideas, making sure they re working every bit as hard as you do. Our patent and trade mark attorneys are here to help you protect and profit from your ideas, making sure they re working every bit as hard as you do. Our people work with everyone from multi-nationals

More information

72/2015-21 April 2015

72/2015-21 April 2015 72/2015-21 April 2015 Provision of deficit and debt data for 2014 - first notification Euro area and EU28 government deficit at 2.4% and 2.9% of GDP respectively Government debt at 91.9% and 86.8% In 2014,

More information

Market analysis on Factoring in EU 25+2

Market analysis on Factoring in EU 25+2 EIF Project "Jeremie" General Report on Factoring 1 Market analysis on Factoring in EU 25+2 prepared by International Factors Group (IFG) for European Investment Fund (EIF) project JEREMIE Preliminary

More information

ANALYSIS OF THE STAKEHOLDER CONSULTATION ON

ANALYSIS OF THE STAKEHOLDER CONSULTATION ON ANALYSIS OF THE STAKEHOLDER CONSULTATION ON Science and Technology, the key to Europe s future: guidelines for future European policy to support research COM(353)2004 DG Research, European Commission,

More information

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments January 20, 2015 ShadEcEurope31_January2015.doc Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments by Friedrich Schneider *)

More information

Minimum Wage Protection Current German and European Debates

Minimum Wage Protection Current German and European Debates Årskonferanse i Fafo Østforum Fire år etter EU-utvidelsen: Status og framtidsperspektiver Oslo, 3 June 2008 Minimum Wage Protection Current German and European Debates Thorsten Schulten Wirtschafts- und

More information

What do the recent regional GDP statistics tell us about Cohesion?

What do the recent regional GDP statistics tell us about Cohesion? Analysis from the CPMR Secretariat July 2015 What do the recent regional GDP statistics tell us about Cohesion? Headline messages - Recent regional GDP statistics reveal that regional disparities are on

More information

BUSINESS-TO-BUSINESS ALTERNATIVE DISPUTE RESOLUTION IN THE EU

BUSINESS-TO-BUSINESS ALTERNATIVE DISPUTE RESOLUTION IN THE EU Flash Eurobarometer BUSINESS-TO-BUSINESS ALTERNATIVE DISPUTE RESOLUTION IN THE EU REPORT Fieldwork: March-April 22 Publication: November 22 This survey has been requested by Directorate-General for Justice

More information

Delia Velculescu, IMF April 1, 2011

Delia Velculescu, IMF April 1, 2011 Delia Velculescu, IMF April 1, 2011 Several CEE countries have reduced pre-funding of future liabilities since 2009: Lithuania, Latvia, Romania, and Estonia: temporary measures and fiscal consolidation

More information

Definition of Public Interest Entities (PIEs) in Europe

Definition of Public Interest Entities (PIEs) in Europe Definition of Public Interest Entities (PIEs) in Europe FEE Survey October 2014 This document has been prepared by FEE to the best of its knowledge and ability to ensure that it is accurate and complete.

More information

Alcohol Consumption in Ireland 1986-2006 A Report for the Health Service Executive

Alcohol Consumption in Ireland 1986-2006 A Report for the Health Service Executive Alcohol Consumption in Ireland 1986-2006 A Report for the Health Service Executive Prepared by Dr. Ann Hope This report should be referenced: Hope, A. (2007). Alcohol consumption in Ireland 1986-2006.

More information

EUF STATISTICS. 31 December 2013

EUF STATISTICS. 31 December 2013 . ESTIMATES OF EU TURNOVER VOLUMES. Turnover volumes by product, allocation and notification (Estimates of EU s, Millions of ) Estimate of the EU % on Turnover Significance of the sample on total turnover

More information

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness SWECARE FOUNDATION Uniting the Swedish health care sector for increased international competitiveness SWEDEN IN BRIEF Population: approx. 9 800 000 (2015) GDP/capita: approx. EUR 43 300 (2015) Unemployment

More information

EUROPEAN CITIZENS DIGITAL HEALTH LITERACY

EUROPEAN CITIZENS DIGITAL HEALTH LITERACY Flash Eurobarometer EUROPEAN CITIZENS DIGITAL HEALTH LITERACY REPORT Fieldwork: September 2014 Publication: November 2014 This survey has been requested by the European Commission, Directorate-General

More information

COMMUNICATION FROM THE COMMISSION

COMMUNICATION FROM THE COMMISSION EUROPEAN COMMISSION Brussels, 17.9.2014 C(2014) 6767 final COMMUNICATION FROM THE COMMISSION Updating of data used to calculate lump sum and penalty payments to be proposed by the Commission to the Court

More information

The coverage rate of social benefits. Research note 9/2013

The coverage rate of social benefits. Research note 9/2013 Research note 9/2013 SOCIAL SITUATION OBSERVATORY INCOME DISTRIBUTION AND LIVING CONDITIONS APPLICA (BE), EUROPEAN CENTRE FOR THE EUROPEAN CENTRE FOR SOCIAL WELFARE POLICY AND RESEARCH (AT), ISER UNIVERSITY

More information

INTERNATIONAL TRACKED POSTAGE SERVICE

INTERNATIONAL TRACKED POSTAGE SERVICE INTERNATIONAL TRACKED POSTAGE SERVICE Index Expanding Internationally...03 The Post NL Service...04 How it works... 05 Post NL Rates...06 Transit times...07 Customer Service...08 Expanding Internationally

More information

Taxation of tobacco products in the European Union. Frank Van Driessche DG Taxation and Customs Union May 2006

Taxation of tobacco products in the European Union. Frank Van Driessche DG Taxation and Customs Union May 2006 1 Taxation of tobacco products in the European Union Frank Van Driessche DG Taxation and Customs Union May 2006 2 Legislation on taxation Directive 92/79/EEC (Approximation of taxes on cigarettes) Directive

More information

187/2014-5 December 2014. EU28, euro area and United States GDP growth rates % change over the previous quarter

187/2014-5 December 2014. EU28, euro area and United States GDP growth rates % change over the previous quarter 187/2014-5 December 2014 This News Release has been revised following an error in the data for Gross Fixed Capital Formation. This affects both the growth of GFCF and its contribution to GDP growth. All

More information

99/2015-9 June 2015. EU28, euro area and United States GDP growth rates % change over the previous quarter

99/2015-9 June 2015. EU28, euro area and United States GDP growth rates % change over the previous quarter 2005Q1 2005Q2 2005Q3 2005Q4 2006Q1 2006Q2 2006Q3 2006Q4 2007Q1 2007Q2 2007Q3 2007Q4 2008Q1 2008Q2 2008Q3 2008Q4 2009Q1 2009Q2 2009Q3 2009Q4 2010Q1 2010Q2 2010Q3 2010Q4 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1

More information

Public Debt and Contingent Liabilities: A Cross-Country Comparison

Public Debt and Contingent Liabilities: A Cross-Country Comparison Public Debt and Contingent Liabilities: A Cross-Country Comparison Melchior Vella and Gevit Duca * 1. Contingent Liabilities 1.1 What are contingent liabilities? Contingent liabilities are obligations

More information

RETAIL FINANCIAL SERVICES

RETAIL FINANCIAL SERVICES Special Eurobarometer 373 RETAIL FINANCIAL SERVICES REPORT Fieldwork: September 211 Publication: March 212 This survey has been requested by Directorate-General Internal Market and Services and co-ordinated

More information

RETAIL FINANCIAL SERVICES

RETAIL FINANCIAL SERVICES Special Eurobarometer 373 RETAIL FINANCIAL SERVICES REPORT Fieldwork: September 211 Publication: April 212 This survey has been requested by the European Commission, Directorate-General Internal Market

More information

Computing our Future Computer programming and coding in schools in Europe. Anja Balanskat, Senior Manager European Schoolnet

Computing our Future Computer programming and coding in schools in Europe. Anja Balanskat, Senior Manager European Schoolnet Computing our Future Computer programming and coding in schools in Europe Anja Balanskat, Senior Manager European Schoolnet ABOUT THE SURVEY What do Ministries currently think about the topic? Curricula

More information

Electricity, Gas and Water: The European Market Report 2014

Electricity, Gas and Water: The European Market Report 2014 Brochure More information from http://www.researchandmarkets.com/reports/2876228/ Electricity, Gas and Water: The European Market Report 2014 Description: The combined European annual demand for electricity,

More information

YOUNG PEOPLE AND DRUGS

YOUNG PEOPLE AND DRUGS Eurobarometer YOUNG PEOPLE AND DRUGS REPORT Fieldwork: June 2014 Publication: August 2014 This survey has been requested by the European Commission, Directorate-General for Justice and co-ordinated by

More information

Number of resident patent applications to the European Patent Office per 1 million population

Number of resident patent applications to the European Patent Office per 1 million population CENTRAL STATISTICAL OFFICE STATISTICAL OFFICE IN KATOWICE Sustainable Development Indicators. National module More information: for substantive matters concerning: national indicators and those on the

More information

Family Law. Fieldwork: June 2006 Report: October 2006

Family Law. Fieldwork: June 2006 Report: October 2006 The Gallup Organization Flash EB N o 188 Consular Protection and Family Law Flash Eurobarometer European Commission Family Law Summary Fieldwork: June 06 Report: October 06 Flash Eurobarometer 188 The

More information

Panel: How broadband policy can contribute to deploy secured and universal broadband access. Presentation:

Panel: How broadband policy can contribute to deploy secured and universal broadband access. Presentation: Panel: How broadband policy can contribute to deploy secured and universal broadband access Presentation: Initiatives to deploy broadband access in Europe Erik BOHLIN Chalmers University of Technology,

More information

Waiting times and other barriers to health care access

Waiting times and other barriers to health care access Dr. Frank Niehaus Wissenschaftliches Institut der PKV (Scientific Research Institute of the Association of German Private Health Insurers) Waiting times and other barriers to health care access 31.8 %

More information

Challenges in Combating Pensioner Poverty Helsinki, 4-5 Dec 2006

Challenges in Combating Pensioner Poverty Helsinki, 4-5 Dec 2006 Challenges in Combating Pensioner Poverty Helsinki, 4-5 Dec 2006 1st Afternoon Plenary session Design and reform of minimum income guarantee and general public earnings related pension schemes and their

More information

Private Health Insurance in OECD Countries

Private Health Insurance in OECD Countries Private Health Insurance in OECD Countries Health Insurance for an Expanded Europe: New Public-Private Options The Prague Symposium 2004 Nicole Tapay(Novartis)* *Based on work performed under OECD private

More information

Update of trade weights data underlying the EERs and HCIs: extending the group of 20 trading partners to include Croatia from 1 July 2013

Update of trade weights data underlying the EERs and HCIs: extending the group of 20 trading partners to include Croatia from 1 July 2013 1 Update of trade weights data underlying the EERs and HCIs: extending the group of 20 trading partners to include Croatia from 1 July 2013 The trade weights underlying the calculation of the effective

More information

Approaching health system financing policy decisions: objectives, instruments and the sustainability dilemma

Approaching health system financing policy decisions: objectives, instruments and the sustainability dilemma Approaching health system financing policy decisions: objectives, instruments and the sustainability dilemma Health Systems Financing Programme Division of Country Health Systems Tamás Evetovits Senior

More information

INVESTING IN INTANGIBLES: ECONOMIC ASSETS AND INNOVATION DRIVERS FOR GROWTH

INVESTING IN INTANGIBLES: ECONOMIC ASSETS AND INNOVATION DRIVERS FOR GROWTH Flash Eurobarometer INVESTING IN INTANGIBLES: ECONOMIC ASSETS AND INNOVATION DRIVERS FOR GROWTH REPORT Fieldwork: January February 213 Publication: May 213 This survey has been requested by the European

More information

Pan-European Launch Presentation Summary

Pan-European Launch Presentation Summary Pan-European Launch Presentation Summary May 2012 Presentation Agenda 1. Introduction Background Coverage and Methodology 2. Findings The Media Evolution Internet everywhere by any means Media multi-tasking

More information

Labor market reforms in Europe towards more flexicure labor markets?

Labor market reforms in Europe towards more flexicure labor markets? Labor market reforms in Europe towards more flexicure labor markets? (joint work with Paul Marx and Caroline Wehner) Werner Eichhorst ILO / IZA Conference on Assessing Labor Market Reforms Geneva, 10 March

More information

1. Perception of the Bancruptcy System... 2. 2. Perception of In-court Reorganisation... 4

1. Perception of the Bancruptcy System... 2. 2. Perception of In-court Reorganisation... 4 Bankruptcy Systems and In-court Reorganisation of Firms, 2010 Content: 1. Perception of the Bancruptcy System... 2 2. Perception of In-court Reorganisation... 4 3. Perception of Creditor Committees, Fast

More information

TPI: Traffic Psychology International on a common European curriculum for postgraduate education in traffic psychology

TPI: Traffic Psychology International on a common European curriculum for postgraduate education in traffic psychology TPI: Traffic Psychology International on a common European curriculum for postgraduate education in traffic psychology Sucha, M.*, Sramkova, L.** DeVol, D.* * TPI - Traffic Psychology International **

More information

Actual annual working time in France and in Europe in 2013

Actual annual working time in France and in Europe in 2013 Actual annual working time in France and in Europe in 2013 Update to the January 2012 study plus new data Summary of the Working Paper N.49 : La durée effective du travail en France et en Europe (June

More information

EIOPA Stress Test 2011. Press Briefing Frankfurt am Main, 4 July 2011

EIOPA Stress Test 2011. Press Briefing Frankfurt am Main, 4 July 2011 EIOPA Stress Test 2011 Press Briefing Frankfurt am Main, 4 July 2011 Topics 1. Objectives 2. Initial remarks 3. Framework 4. Participation 5. Results 6. Summary 7. Follow up 2 Objectives Overall objective

More information

TO ASSET AFTER FISCAL

TO ASSET AFTER FISCAL PUBLIC SERVICE: FROM COST TO ASSET AFTER FISCAL CONSOLIDATION Mario Marcel, Deputy Director Public Governance and Territorial Development, OECD Lisbon 24 January 2014 Contents Changes in the fiscal environment

More information

Social dumping and free movement: Overview of current issues from an economic point of view

Social dumping and free movement: Overview of current issues from an economic point of view Social dumping and free movement: Overview of current issues from an economic point of view Prof. dr. Jozef Pacolet & Frederic De Wispelaere Design Charles & Ray Eames - Hang it all Vitra Statistics on

More information

Broadband markets Digital Agenda Scoreboard 1 2014

Broadband markets Digital Agenda Scoreboard 1 2014 Broadband markets Digital Agenda Scoreboard 2014 1 Broadband coverage: Basic broadband is available to everyone in the EU, while fixed technologies cover 97% leaving 6 million homes unconnected. Next Generation

More information

NEW PASSENGER CAR REGISTRATIONS BY ALTERNATIVE FUEL TYPE IN THE EUROPEAN UNION 1 Quarter 4 2015

NEW PASSENGER CAR REGISTRATIONS BY ALTERNATIVE FUEL TYPE IN THE EUROPEAN UNION 1 Quarter 4 2015 NEW PASSENGER CAR REGISTRATIONS BY ALTERNATIVE FUEL TYPE IN THE Quarter 4 2015 Alternative fuel vehicle (AFV) registrations: +20.0% in 2015; +21.1% in Q4 In the fourth quarter of 2015, total alternative

More information

Finnish foreign trade 2015 Figures and diagrams FINNISH CUSTOMS Statistics 1

Finnish foreign trade 2015 Figures and diagrams FINNISH CUSTOMS Statistics 1 Finnish foreign trade 215 Figures and diagrams 29.2.216 FINNISH CUSTOMS Statistics 1 IMPORTS, EXPORTS AND TRADE BALANCE 199-215 7 billion e 6 5 4 3 2 1-1 9 91 92 93 94 95 96 97 98 99 1 2 3 4 5 6 7 8 9

More information

EUROPEANS SATISFACTION WITH RAIL SERVICES

EUROPEANS SATISFACTION WITH RAIL SERVICES Flash Eurobarometer 382a EUROPEANS SATISFACTION WITH RAIL SERVICES SUMMARY Fieldwork: September 2013 Publication: December 2013 This survey has been requested by the European Commission, Directorate-General

More information

GDP per capita, consumption per capita and comparative price levels in Europe

GDP per capita, consumption per capita and comparative price levels in Europe Economy and finance Author: Lars SVENNEBYE Statistics in focus 2008 GDP per capita, consumption per capita and comparative price levels in Europe Final results for 2005 and preliminary results for 2006

More information

International Hints and Tips

International Hints and Tips International Hints and Tips Content Q: What is the cut off time for processing International payments? A: International payments must be submitted and fully approved within the cut off time indicated

More information

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS Paulo Magina Public Sector Integrity Division 10 th Public Procurement Knowledge Exchange Platform Istanbul, May 2014 The Organization for Economic

More information

Equity Release Schemes in the European Union

Equity Release Schemes in the European Union Reifner Clerc-Renaud Perez-Carillo Tiffe Knobloch Equity Release Schemes in the European Union institut fur finanzdienstleistungen e.v. Contents PREFACE I EXECUTIVE SUMMARY V TABLES XXIX FIGURES XXX 1.

More information

Finance information for postgraduate students

Finance information for postgraduate students Finance information for postgraduate students Contents Finance information for postgraduate students... 1 Contents... 1 Introduction... 2 Postgraduate tuition fee arrangements... 2 Postgraduate students

More information

Briefing note. Survey of environmental liability insurance developments

Briefing note. Survey of environmental liability insurance developments Briefing note Survey of environmental liability insurance developments June 2014 Introduction This paper responds to the consideration by the European Commission (EC) of a possible EU-wide compulsory insurance

More information

Information and Communications Technologies (ICTs) in Schools

Information and Communications Technologies (ICTs) in Schools H u n g a r y : k e y f i n d i n g s Almost all Hungarian schools now use computers for teaching and have internet access. 77% use the internet via a broadband connection. With this figure Hungary ranks

More information

Health financing policy: performance and response to economic crisis

Health financing policy: performance and response to economic crisis Division of Health Systems & Public Health Health financing policy: performance and response to economic crisis Tamás Evetovits Head of Office a.i., Senior Health Financing Specialist WHO Barcelona Office

More information

CO1.2: Life expectancy at birth

CO1.2: Life expectancy at birth Definitions and methodology CO1.2: at birth at birth is the average number of years a newborn can expect to live if he or she experienced the age-specific mortality rates prevalent in a particular year.

More information

The summary table below shows how the composition of the trading partner groups changes on 1 January 2015 as a result of the enlargement.

The summary table below shows how the composition of the trading partner groups changes on 1 January 2015 as a result of the enlargement. 1 Update of trade weights underlying effective exchange rates and harmonised competitiveness indicators as Lithuania joins the euro area on 1 January 2015 The trade weights underlying the calculation of

More information

Value of production of agricultural products and foodstuffs, wines, aromatised wines and spirits protected by a geographical indication (GI)

Value of production of agricultural products and foodstuffs, wines, aromatised wines and spirits protected by a geographical indication (GI) Value of production of agricultural products and foodstuffs, wines, aromatised wines and spirits protected by a geographical indication (GI) TENDER N AGRI 2011 EVAL 04 Leaflet October 2012 The information

More information

The Legal Protection Insurance Market in Europe. October 2013

The Legal Protection Insurance Market in Europe. October 2013 The Legal Protection Insurance Market in Europe October 2013 The Legal Protection Insurance Market in Europe October 2013 In its latest publication RIAD, the International Association of Legal Protection

More information

Private Sector Debt Dívida do Sector Privado. dossiers. Economic Outlook Conjuntura Económica. Conjuntura Económica.

Private Sector Debt Dívida do Sector Privado. dossiers. Economic Outlook Conjuntura Económica. Conjuntura Económica. dossiers Economic Outlook Private Sector Debt Dívida do Sector Privado Last Update Última Actualização:12/08/2015 Portugal Economy Probe (PE Probe) Prepared by PE Probe Preparado por PE Probe Copyright

More information

EUROPE 2020 TARGETS: climate change and energy

EUROPE 2020 TARGETS: climate change and energy EUROPE 2020 TARGETS: climate change and energy Energy and climate change polices yield many macroeconomic benefits and contribute to smart and sustainable ( green ) growth 1. By increasing energy efficiency,

More information

Report EEA prospectus activity in 2015

Report EEA prospectus activity in 2015 Report EEA prospectus activity in 2015 28 July 2016 2016/ESMA/1170 Table of Contents Acronyms... 3 1 Introduction... 5 2 General approval activity... 6 2.1 Number of prospectuses approved per EEA country...

More information

ATTITUDES OF EUROPEANS TOWARDS BUILDING THE SINGLE MARKET FOR GREEN PRODUCTS

ATTITUDES OF EUROPEANS TOWARDS BUILDING THE SINGLE MARKET FOR GREEN PRODUCTS Eurobarometer ATTITUDES OF EUROPEANS TOWARDS BUILDING THE SINGLE MARKET FOR GREEN PRODUCTS REPORT Fieldwork: December 2012 Publication: July 2013 This survey has been requested by the European Commission,

More information

Facts: Population Baldwin & Wyplosz 2006

Facts: Population Baldwin & Wyplosz 2006 Facts: Population Facts: Population 6 big nations: > 35 million (Germany, the UK, France, Italy, Spain and Poland). Netherlands: 16 million people. 8 small nations (size of a big city): 8 to 11 million:

More information

Family Law. Analytical Report

Family Law. Analytical Report Flash Eurobarometer European Commission Family Law Analytical Report Fieldwork: June 2006 Report: October 2006 Flash Eurobarometer 188 The Gallup Organization This survey was requested by Directorate-General

More information