How To Understand The Health Care System In The United States
|
|
- Dominick Lindsey
- 3 years ago
- Views:
Transcription
1 Medicare Payments And Its Relationship To The U.S. Healthcare System Stuart H. Altman, Ph.D. Sol C. Chaikin Professor of National Health Policy Brandeis University
2 Should Medicare Focus Only on The Functioning of The Medicare Program, Or Should It Be Concerned About It s Impact on The Overall US Healthcare System?
3 Medicare Is Already A Major Payer For US Healthcare But Just Wait Until The Next Decade!
4 Percent Paid For Healthcare By Payer Source 2006 Medicare, 22% Other, 4% In Billions of Dollars- $1.76 Out-of-Pocket, 15% Medicaid, 17% Pvt. Insurance, 35% Out-of-Pocket Pvt. Insurance Medicare Medicaid Other
5 Even With No Change In Coverage Government Will Dominate Institutional Payments 100% 80% 60% 40% 20% 0% Proportion Of Hospital Expenses Attributed To Patients By Payer Source 54% 66% 37% 25% 6% 7% Gov. Pvt. Uncomp. Care Other 3% 2%
6 Do Hospitals Attempt To Charge Privately Insured Patients More For Medicare/Medicaid Underpayments, Or Do They Just Maximize Revenue From Each Source
7 Can Private Insurance Payments Continue To Pay For The Shortfall In Government Payments 180% 160% Hospital Payment-to-Cost Ratios (Government Ratios Maintained at Current Levels) 157.4% 140% 120% 122.3% 138.0% 100% 95.3% 80% 92.3% 60% Medicare Medicaid Private Payers Source: 2005 TrendWatch Chartbook, AHA and the Lewin Group.
8 Profit (Loss) By Payer ,000,000 Non-Govt 50,000,000 Other Govt 0 PEIA -50,000,000 Medicaid -100,000, ,000, ,000,000 Medicare
9 Both Medicare and Private Health Insurance Payments Are Being Driven By The Same Forces
10 Per Capita Growth In Health Expenditures Has Been Growing at 2% Above Inflation For 40 Years ---Is This Inevitable? (adjusted for inflation) y = x Per Capita NHE in $
11 Medicare Expenditures $450 IN Billions $432 $400 $350 $300 $275 $336 $374 $250 $217 $200 $150 $100 $50 $0 $4.7 $6.6 $33.7 $
12 The U.S. Has In The Past Tried To Control Health Spending--- BUT----With Limited Success and For a Limited Time Period
13 The Changing Growth Pattern of Per Capita National Health Expenditure (adjusted for inflation) Y = x Managed Care Y = x ? Per Capita NHE in $ Y = x M&M Begins Y = 40.31x Gov t Reg. Y = x Little Reg./Little Mkt.
14 What Are The Forces That Keep Health Care Spending Growing? Lets See What We Can Learn From A Comparison With Other Countries
15 Correlation Between Per Capita Expenditure on Health Care and GDP, ,000 per Capita Exp on Health ($US PPP) 6,000 5,000 4,000 3,000 2,000 1, ,000 China y = x R 2 = Korea Israel Germany Canada Japan U.K. Switzerland Australia 0 10,000 20,000 30,000 40,000 50,000 per Capita GDP ($US PPP) U.S. Norway $1,794 The figure for Japan is 2002 estimate; the figures for Australia, Austria, China, Hungary, Ireland, Israel, Poland, Sweden and United Kingdom are of 2002; the figures for Canada, France, Iceland, Norway and Switzerland are 2003 estimates. The rest are of Source: OECD Health Data 2005 and WHO.
16 Why Is Healthcare Spending Higher In U.S. Do We Use More Services or Just Spend More for The Services We Use?
17 In-Patient Acute Care Beds in Selected Countries 2005 Per 1,000 population US France Australia UK Germany Japan OECD Av. Sources: OECD HEALTH DATA 2007
18 Hospital Discharge Rate in Selected Countries 2005 Discharges per 100,000 Pop US UK Germany Australia France Japan Canada OECD Av. Source: OECD HEALTH DATA 2007
19 Average Length of Stay in Hospital in Selected Countries In-patient Acute Care Days In-Patient Acute Care Days US Australia UK France Germany Japan OECD Av. Source: OECD HEALTH DATA 2005
20 Practicing Physicians in Selected Countries 2005 Physicians per 1,000 population US Germany Australia UK France Canada Japan OECD Av Source: OECD HEALTH DATA 2007
21 Doctors Consultations Per Capita in Selected Countries US Germany Japan France Australia OECD Av. Source: OECD HEALTH DATA 2007 Number of Consultations per Capita
22 What About The Availability of Expensive Medical Technology and Procedures?
23 MRIs in Selected Countries (Units per million persons) US Australia Germany UK France OECD Av. Sources: OECD HEALTH DATA Japan
24 Patients Using Renal Dialysis Treatment in Selected Countries Procedures Per 100,000 Population US Australia Canada Germany UK Mexico NZ Patients With Dialysis Source: OECD HEALTH DATA 2007
25 Coronary Revascularization Procedures, in Selected Countries Coronary angioplasty Coronary bypass Per 1,000 population US Germany Australia UK France Canada OECD Av. Source: OECD HEALTH DATA 2007
26 Liver Transplant Procedures in Selected Countries Procedure per 100,000 Population US Australia Canada Germany UK Korea Liver Transplant Source: OECD HEALTH DATA 2005
27 Pharmaceutical Expenditures Per Capita U.S France Australia Canada Germany OECD Av.
28 What About Income of Physicians?
29 General Practitioners (GPs) Remunerations Ratio To GDP Per Capita, 2005 Salaried Self-employed US (2001) UK(2004) Germany Australia (2004) Canada (2004) Source: OECD HEALTH DATA 2007
30 10 Specialist Physicians Remunerations Ratio To GDP Per Capita, Salaried Self-employed US (2001) UK(2004) Germany Australia (2004) Canada (2004) Source: OECD HEALTH DATA 2007
31 Is The US (Medicare) Growth Rate In Spending Sustainable? Or Are We Approaching a Meltdown In Our Healthcare System
32 Technology Is a Major Driver in Health Care Expenditure Growth.- --Is it Worth It? When costs and benefits are weighed together, technological advances have proved to be worth far more than their costs. David M. Cutler and Mark McClellan, Is Technological Change In Medicine Worth It? Health Affairs, September/ October Can be found at:
33 But Is Every Technology That Has Some Medical Benefit Worth The Costs?
34 Alternative Levels of Healthcare Dollars Services And Improvements to Health Outcomes Maximum Impact Economic Optimum 0 Harmful Care #1 #2 #3 Inputs of Healthcare #4
35 In Other Countries They Control Spending By Limiting Use of High Cost Medical Procedures Closer To #2---Plus Pay Less for Those They Use We Can Start By Eliminating The Harmful Services in Category #4. But Also May Need To Move Toward #2 ---HOW?
36 Techniques The US (Medicare) Can Use To Limit Use of Expensive Medical Technology Market Mechanisms More Knowledge and Transparency of Value of Use of Individual Technologies Comparative Effectiveness Research More Aggressive Managing of Care Value Based Benefit Design Value Based Pricing More Aggressive Use of Patient Co-Payments Based on Value of Service Provided
37 Techniques for Limiting Use of Expensive Medical Technology Government Regulation Certificate-of-Need Restrictions Funds Obtained Privately Limits on How Technology Can Be Funded Must Use Government Funds Limits on Payments for Technology Services Require all Public and Private Technology Payments to Utilize Comparative Effectiveness Findings Using Cost Benefit Analysis ( Quality Adjusted Life Years )
38 Many Believe Medicare Must First Change The Way It Pays Providers Federal government can no longer just think about impact on Medicare beneficiaries and fiscal integrity of program Cannot assume that providers will continue to find other payers to balance its lower payments and therefore if Medicare needs to pay lower amounts it must: Restructure its payment system and move beyond feefor-service payments In addition Medicare Needs to: Review the amount it pays primary care physicians in relationship to specialists Assess whether hospital DRG payment system encourages the use of expensive and less valuable services Determine whether it could do more to encourage integrated care
39 So---What Will Happen?
PUBLIC VS. PRIVATE HEALTH CARE IN CANADA. Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007
PUBLIC VS. PRIVATE HEALTH CARE IN CANADA Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007 Possible private contribution Possible private contribution in the health
More informationMedizinische Soziologie. Das Gesundheitssystem II: USA und UK
Vorlesung WS 2013 Medizinische Soziologie Das Gesundheitssystem II: USA und UK Thomas Kohlmann, Sandra Meyer-Moock & You-Shan Feng Institut für Community Medicine Universität Greifswald Models of Health
More informationPUBLIC & PRIVATE HEALTH CARE IN CANADA
PUBLIC & PRIVATE HEALTH CARE IN CANADA by Norma Kozhaya, Ph.D. Economist, Montreal Economic Institute before the Canadian Pension & Benefits Institute Winnipeg - June 15, 2007 Possible private contribution
More informationExpenditure and Outputs in the Irish Health System: A Cross Country Comparison
Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Paul Redmond Overview This document analyzes expenditure and outputs in the Irish health system and compares Ireland to other
More informationHong Kong s Health Spending 1989 to 2033
Hong Kong s Health Spending 1989 to 2033 Gabriel M Leung School of Public Health The University of Hong Kong What are Domestic Health Accounts? Methodology used to determine a territory s health expenditure
More informationHEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE?
HEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE? Background: Two different health care systems Generally speaking, the British and the German health care systems differ not only with respect
More informationU.S. Health Care Spending: Comparison with Other OECD Countries
www.menshealthlibrary.com Order Code RL34175 U.S. Health Care Spending: Comparison with Other OECD Countries September 17, 2007 Chris L. Peterson and Rachel Burton Domestic Social Policy Division U.S.
More information4/17/2015. Health Insurance. The Framework. The importance of health care. the role of government, and reasons for the costs increase
Health Insurance PhD. Anto Bajo Faculty of Economics and Business, University of Zagreb The Framework The importance of healthcare, the role of government, and reasons for the costs increase Financing
More informationHealth Care in Crisis
Health Care in Crisis The Economic Imperative for Health Care Reform James Kvaal and Ben Furnas February 19, 2009 1 Center for American Progress Health Care in Crisis U.S. spends twice as much per capita
More informationThe Wharton School, University of Pennsylvania. Hillsdale College
Real Ways to Drive Down Healthcare Costs Scott E. Harrington The Wharton School, University of Pennsylvania www.scottharringtonphd.com com Free Market Forum Hillsdale College October 1, 2010 Outline The
More informationHealth Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001
Health Care Systems: An International Comparison Strategic Policy and Research Intergovernmental Affairs May 21 1 Most industrialized countries have established hybrid systems in which the public sector,
More informationU.S. Health Care Spending: Comparison with Other OECD Countries
Cornell University ILR School DigitalCommons@ILR Federal Publications Key Workplace Documents 9-17-2007 U.S. Health Care Spending: Comparison with Other OECD Countries Chris L. Peterson Congressional Research
More informationTOWARDS 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 informationCross-country comparison of health care system efficiency
Cross-country comparison of health care system efficiency Isabelle Joumard, OECD, Economics Department IMF conference, June 21, 2011 Public Health Care Reforms: Challenges and Lessons for Advanced and
More informationMedizinische Soziologie. Das Gesundheitssystem I: USA und UK
Vorlesung WS 2011 / 2012 Medizinische Soziologie Das Gesundheitssystem I: USA und UK Thomas Kohlmann, Sandra Meyer-Moock & You-Shan Feng Institut für Community Medicine Universität Greifswald Models of
More informationWaiting 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 informationAPPENDIX C HONG KONG S CURRENT HEALTHCARE FINANCING ARRANGEMENTS. Public and Private Healthcare Expenditures
APPENDIX C HONG KONG S CURRENT HEALTHCARE FINANCING ARRANGEMENTS and Healthcare Expenditures C.1 Apart from the dedication of our healthcare professionals, the current healthcare system is also the cumulative
More informationSocial health insurance in Belgium. Charlotte Wilgos & Thomas Rousseau
Social health insurance in Belgium Charlotte Wilgos & Thomas Rousseau Attachés NIHDI Content History Today Values Organizational overview Financial overview Evolutions and challenges Content History Today
More informationInsurance corporations and pension funds in OECD countries
Insurance corporations and pension funds in OECD countries Massimo COLETTA (Bank of Italy) Belén ZINNI (OECD) UNECE, Expert Group on National Accounts, Geneva - 3 May 2012 Outline Motivations Insurance
More informationHealth Care Systems: Efficiency and Policy Settings
Health Care Systems: Efficiency and Policy Settings Summary in English People in OECD countries are healthier than ever before, as shown by longer life expectancy and lower mortality for diseases such
More informationSWECARE 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 informationHealth Insurance & Healthcare Systems
Chapter 11 Health Insurance & Healthcare Systems Slide Show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College 4.15.15 Key Questions How much money does the United States
More informationThe U.S Health Care Paradox: How Spending More is Getting Us Less
The U.S Health Care Paradox: How Spending More is Getting Us Less Elizabeth H. Bradley Yale School of Public Health Lauren A. Taylor Harvard Divinity School 1 The paradox Then there's the problem of rising
More informationINEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES
INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES Marion Devaux, OECD Health Division 2014 QICSS International Conference on Social Policy and Health Inequalities, Montreal, 9-May-2014
More informationOECD Health Data 2012 U.S. health care system from an international perspective
OECD Health Data 2012 U.S. health care system from an international perspective Released on June 28, 2012 http://www.oecd.org/health/healthdata Why is the US health spending so high? 5 388 5 270 5 056
More information41 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 informationOn the Front Line: Primary Care Doctors Experiences in Eleven Countries
On the Front Line: Primary Care Doctors Experiences in Eleven Countries Findings from the Commonwealth Fund 12 International Health Policy Survey of Primary Care Physicians and Health Affairs article,
More informationPrivate Health insurance in the OECD
Private Health insurance in the OECD Benefits and costs for individuals and health systems Francesca Colombo, OECD AES, Madrid, 26-28 May 2004 http://www.oecd.org/health 1 Outline Q Background, method
More informationOn What Resources and Services Is Education Funding Spent?
Indicator On What Resources and Services Is Education Funding Spent? In primary, secondary and post-secondary non-tertiary education combined, current accounts for an average of 92% of total spending in
More informationHealth Systems in Transition: Toward Integration
Leading knowledge exchange on home and community care Health Systems in Transition: Toward Integration A. Paul Williams, PhD. Full Professor & CRNCC Co-Director, University of Toronto El Instituto Nacional
More informationPrivate Health insurance in the OECD
Private Health insurance in the OECD Benefits and costs for individuals and health systems Francesca Colombo, OECD AES, Madrid, 26-28 May 2003 http://www.oecd.org/health 1 Outline Background, method Overview
More informationNumber 2 2007. Year 1998. Year 1996. Year 1995. Year 1997
Number 2 2007 PROVIDER PAYMENTS AND COST-CONTAINMENT LESSONS FROM OECD COUNTRIES Historically the OECD countries have struggled to curb their public spending on health care through the use of both demand-oriented
More informationThe facts about rising health care costs Underlying medical costs drive growth
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions The facts about rising health care costs Underlying medical costs drive growth October 2012 00.03.966.1-L11 A
More informationHealthcare and Population Aging
Healthcare and Population Aging Comisión Nacional de Seguros y Fianzas Seminario Internacional Mexico D.F. 10 11 Noviembre 2003 Howard J. Bolnick, FSA, MAAA, HonFIA Presidente, Sección de Salud, AAI Healthcare
More informationInternational Price Variations: What the Data Shows National Summit on Health Care Price, Cost and Quality Transparency December 4, 2013
International Price Variations: What the Data Shows National Summit on Health Care Price, Cost and Quality Transparency December 4, 2013 George C. Halvorson Chairman Kaiser Permanente Tom Sackville Chief
More informationQuantitative significance of growth Inequality and poverty. Sources of growth Global imbalance Tensions and risks
The Role of Growth in Development by Danny Quah Economics Department, LSE Wednesday 13 February 28 Overseas Development Institute, London Conclusions Quantitative significance of growth Inequality and
More informationrelating to household s disposable income. A Gini Coefficient of zero indicates
Gini Coefficient The Gini Coefficient is a measure of income inequality which is based on data relating to household s disposable income. A Gini Coefficient of zero indicates perfect income equality, whereas
More informationOperations Research in Health Care or Who Let the Engineer Into the Hospital?
Operations Research in Health Care or Who Let the Engineer Into the Hospital? Michael W. Carter Health Care Resource Modelling Group Mechanical and Industrial Engineering University of Toronto 1 Outline
More informationHealth Care Reform in Korea: Key Challenges
Health Care Reform in Korea: Key Challenges IMF Conference October 3, 2011 Soonman KWON, Ph.D. Professor of Health Economics & Policy Sh School of fpbli Public Health Seoul National University, South Korea
More informationCapital Markets, Savings Division Annual Report 2011. Insurance
Capital Markets, Insurance and Savings Division Annual Report 2011 Insurance Table of Contents 4.1 Non-life Insurance 76 4.1.1 Introduction 76 4.1.2 Insurance Premiums 77 4.1.3 Concentration Indices and
More informationHealth Care a Public or Private Good?
Health Care a Public or Private Good? Keith Schenone December 09, 2012 Economics & Institutions MGMT 7730-SIK Thesis Health care should be treated as a public good because it is not an ordinary commodity
More informationPublic / 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 informationDEMOGRAPHICS AND MACROECONOMICS
1 UNITED KINGDOM DEMOGRAPHICS AND MACROECONOMICS Data from 2008 or latest available year. 1. Ratio of over 65-year-olds the labour force. Source: OECD, various sources. COUNTRY PENSION DESIGN STRUCTURE
More information2014 UXPA Salary Survey. November 2014
2014 UXPA Salary Survey November 2014 Summary 1355 Total Responses from 58 Countries Salary Data converted to US Dollars Median Salary decreased 2% (in constant US Dollars) to $92,500 Median US Salary
More informationPOLICY BRIEF. Private Health Insurance in OECD Countries. Introduction. Organisation for Economic Co-operation and Development
POLICY BRIEF Private Health Insurance in OECD Countries September 04 What is the role of private health insurance in OECD countries? Does private health insurance improve access to care and cover? Does
More informationThe German health system: basics and some comparisons with other countries
The German health system: basics and some comparisons with other countries Prof. Dr. med. Reinhard Busse, MPH Department ofhealthcare Management/ WHO Collaborating Centre for Health Systems, Research and
More information- 2 - Chart 2. Annual percent change in hourly compensation costs in manufacturing and exchange rates, 2010-2011
For release 10:00 a.m. (EST) Wednesday, December 19, 2012 USDL-12-2460 Technical Information: (202) 691-5654 ilchelp@bls.gov www.bls.gov/ilc Media Contact: (202) 691-5902 PressOffice@bls.gov INTERNATIONAL
More informationReview of R&D Tax Credit. Invitation for Submissions
Review of R&D Credit invitation for submissions Review of R&D Credit Invitation for Submissions February 2013 Economic and Fiscal Divisions Department of Finance Government Buildings, Upper Merrion Street,
More informationSwe den Structure, delive ry, administration He althcare Financing Me chanisms and Health Expenditures Quality of Bene fits, C hoice, Access
Sweden Single payer, universal healthcare system, with 21 county councils as the primary payer (reimburser) Administration of healthcare plan is decentralized in the hands of the county councils Central
More informationMultinational Comparisons of Health Systems Data, 2013
Multinational Comparisons of Health Systems Data, 213 David Squires The Commonwealth Fund November 213 2 Health Care Spending and Coverage Average Health Care Spending per Capita, 198 211 Adjusted for
More informationcalifornia Health Care Almanac
california Health Care Almanac : Slow But Steady august 2012 Introduction In 2014, implementation of the Affordable Care Act (ACA) will cause a spike in US health spending; analysts project an increase
More informationINTERNATIONAL COMPARISONS OF HOURLY COMPENSATION COSTS
For release 10:00 a.m. (EST) Tuesday, March 8, 2011 USDL-11-0303 Technical Information: (202) 691-5654 ilchelp@bls.gov www.bls.gov/ilc Media Contact: (202) 691-5902 PressOffice@bls.gov INTERNATIONAL COMPARISONS
More informationWelcome to the Meaningful Use and Data Analytics PowerPoint presentation in the Data Analytics Toolkit. In this presentation, you will be introduced
Welcome to the Meaningful Use and Data Analytics PowerPoint presentation in the Data Analytics Toolkit. In this presentation, you will be introduced to meaningful use and the role of data analytics in
More informationThe Role of Banks in Global Mergers and Acquisitions by James R. Barth, Triphon Phumiwasana, and Keven Yost *
The Role of Banks in Global Mergers and Acquisitions by James R. Barth, Triphon Phumiwasana, and Keven Yost * There has been substantial consolidation among firms in many industries in countries around
More informationPrivate health care cost containment and supply-side regulation. CMS presentation to the Health Portfolio Committee 2014
1 Private health care cost containment and supply-side regulation CMS presentation to the Health Portfolio Committee 2014 2 Contents Introduction Private hospital context Economic considerations Concentration
More informationHow many students study abroad and where do they go?
From: Education at a Glance 2012 Highlights Access the complete publication at: http://dx.doi.org/10.1787/eag_highlights-2012-en How many students study abroad and where do they go? Please cite this chapter
More informationTaiwan National Health Insurance: Overview and Future Challenges
AHPP April 19, 2016 The Impact of Taiwan NHI s 20-Year Journey: How has the market responded and will respond? Taiwan National Health Insurance: Overview and Future Challenges Jui-fen Rachel Lu Fulbright
More informationPreventing fraud and corruption in public procurement
Preventing fraud and corruption in public procurement CRIM, European Parliament 24 September 2012 Brussels János Bertók Head of division Public Sector Integrity OECD Data on trends in procurement Size
More informationLecture 7: Policy Design: Health Insurance & Adverse Selection
Health Insurance Spending & Health Adverse Selection Lecture 7: Policy Design: Health Insurance & Adverse Selection Johannes Spinnewijn London School of Economics Lecture Notes for Ec426 1 / 25 Health
More informationHealth Care Reform in Asia: Key issues in Japanese Health Care
Health Care Reform in Asia: Key issues in Japanese Health Care Professor Masako Ii Hitotsubashi University masako@econ.hit-u.ac.jp 3 October 2011 1 International Monetary Fund OAP/FAD Conference: Public
More informationWELFARE STATES AND PUBLIC HEALTH: AN INTERNATIONAL COMPARISON. Peter Abrahamson University of Copenhagen pa@soc.ku.dk
WELFARE STATES AND PUBLIC HEALTH: AN INTERNATIONAL COMPARISON Peter Abrahamson University of Copenhagen pa@soc.ku.dk ECLAC,Santiago de Chile, Chile,November 3, 2008 Structure of presentation 1. Health
More informationHealth Systems: Type, Coverage and Financing Mechanisms
Health Systems: Type, Coverage and Mechanisms Austria Belgium Bulgaria (2007) Czech Republic Denmark (2007) Estonia (2008). Supplementary private health Complementary voluntary and private health Public
More informationForeign Taxes Paid and Foreign Source Income INTECH Global Income Managed Volatility Fund
Income INTECH Global Income Managed Volatility Fund Australia 0.0066 0.0375 Austria 0.0045 0.0014 Belgium 0.0461 0.0138 Bermuda 0.0000 0.0059 Canada 0.0919 0.0275 Cayman Islands 0.0000 0.0044 China 0.0000
More informationA Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau
FISCAL FACT Jun. 2014 No. 434 A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau Economist Key Findings Average wage earners in the United States face two major taxes: the individual
More informationWhat Is the Total Public Spending on Education?
What Is the Total Public Spending on Education? Indicator On average, OECD countries devote 12.9% of total public expenditure to, but values for individual countries range from less than 10% in the Czech
More informationSingle Payer 101 Training Universal Health Care for Massachusetts
Single Payer 101 Training Universal Health Care for Massachusetts http://masscare.org What s Wrong With Our Health Care System? (the easy part) U.S. Has Lowest Life Expectancy in the Industrialized World
More informationTable of Contents. Page Background 3. Executive Summary 4. Introduction 11. Health Care Funding Models 12. Health Care Costs 15
Document 213108 Table of Contents Page Background 3 Executive Summary 4 Introduction 11 Health Care Funding Models 12 Health Care Costs 15 Use of Health Care Funds 18 Health Care Resources 19 Health Care
More informationAccess to Health Care: A Basic Human Right or Privilege?
Access to Health Care: A Basic Human Right or Privilege? Ervin B. Podgorsak McGill University Montreal, Canada McGill Health Care Financing Models Public (national health service): Financed through government
More informationTHE 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 informationPublic and private health insurance: where to mark to boundaries? June 16, 2009 Kranjska Gora, Slovenia Valérie Paris - OECD
Public and private health insurance: where to mark to boundaries? June 16, 2009 Kranjska Gora, Slovenia Valérie Paris - OECD 1 Outline of the presentation Respective roles of public and private funding
More informationWhat can China learn from Hungarian healthcare reform?
Student Research Projects/Outputs No.031 What can China learn from Hungarian healthcare reform? Stephanie XU MBA 2009 China Europe International Business School 699, Hong Feng Road Pudong, Shanghai People
More informationSocial insurance, private insurance and social protection. The example of health care systems in some OECD countries
Social insurance, private insurance and social protection. The example of health care systems in some OECD countries References OECD publications on Health care Swiss Re publications Sigma No 6/2007 on
More informationHow To Calculate Tertiary Type A Graduation Rate
Indicator How Many Students Finish Tertiary Education? Based on current patterns of graduation, it is estimated that an average of 46% of today s women and 31% of today s men in OECD countries will complete
More informationUniversity Research Funding: The United States is Behind and Falling
May 7, 2014 University Research Funding: The United States is Behind and Falling Dr. Robert D. Atkinson, President The Information Technology and Innovation Foundation The Information Technology and Innovation
More informationA Comparison of the Tax Burden on Labor in the OECD
FISCAL FACT July 2015 No. 475 A Comparison of the Tax Burden on Labor in the OECD By Sam Jordan & Kyle Pomerleau Research Assistant Economist Key Findings Average wage earners in the United States face
More informationBelgium (Fr.) Australia. Austria. England. Belgium (Fl.) United States 2. Finland 2. Norway 2. Belgium (Fr.) Australia. Austria Norway 2, 4.
How Much Are Teachers Paid? Indicator The statutory salaries of teachers with at least 15 years of experience average USD 38 914 at the primary level, USD 41 701 at the lower level and USD 43 711 at the
More informationTrends in Digitally-Enabled Trade in Services. by Maria Borga and Jennifer Koncz-Bruner
Trends in Digitally-Enabled Trade in Services by Maria Borga and Jennifer Koncz-Bruner Digitally-enabled are those for which digital information and communications technologies (ICT) play an important
More informationIs Medicare sustainable? and, Is this question helpful or not?
Is Medicare sustainable? and, Is this question helpful or not? Stephen Duckett AHHA Roundtable 30 th Anniversary of Medicare Canberra January 2014 Agenda Policy memes Some facts about costs and health
More informationComparative Health Care Systems. Folland et al Chapters 22
Comparative Health Care Systems. Folland et al Chapters 22 Chris Auld Economics 317 March 23, 2012 Health Care Systems. There are many different forms of health care delivery in place in different countries.
More informationEXTERNAL DEBT AND LIABILITIES OF INDUSTRIAL COUNTRIES. Mark Rider. Research Discussion Paper 9405. November 1994. Economic Research Department
EXTERNAL DEBT AND LIABILITIES OF INDUSTRIAL COUNTRIES Mark Rider Research Discussion Paper 9405 November 1994 Economic Research Department Reserve Bank of Australia I would like to thank Sally Banguis
More informationA Journey to Improve Canada s Healthcare System
A Journey to Improve Canada s Healthcare System The Quest Can a public/private hospital system coexist and thrive and improve Canada s system? The Journey Visited Australia and New Zealand to find out
More informationPrivate Fee-For-Service ----- Beneficiary Questions and Answers
Private Fee-For-Service ----- Beneficiary Questions and Answers 1. What Is a Private Fee-For-Service Plan? A Private Fee-For-Service plan is a Medicare Advantage health plan offered by a private insurance
More informationVULNERABILITY OF SOCIAL INSTITUTIONS
VULNERABILITY OF SOCIAL INSTITUTIONS 2 December 2014 Paris Seminar in Demographic Economics Falilou FALL Senior Economist OECD Economics Department 1 Introduction and outline Social institutions and the
More informationPharmaceutical Policy in Korea: Role of Health Insurance in Pricing, Reimbursement and Monitoring
Pharmaceutical Policy in : Role of Health Insurance in Pricing, Reimbursement and Monitoring Soonman KWON* and Sukyeong KIM** *Dean, School of Public Health Seoul National University ** Director, Research
More informationORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
2 OECD RECOMMENDATION OF THE COUNCIL ON THE PROTECTION OF CRITICAL INFORMATION INFRASTRUCTURES ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT The OECD is a unique forum where the governments of
More information32 nd National Conference on Law & Higher Education
32 nd National Conference on Law & Higher Education Improving the Quality of Student Learning Improving the quality of student learning and the level of degree attainment through common degree requirements
More informationFriends Life Protection Account Key features of Income Protection Cover
Protection Friends Life Protection Account Key features of Income Protection Cover Why is this document important? The Financial Services Authority is the independent financial services regulator. It requires
More informationThe O rg a n iz ati on f or Economic
In Search Of Value: An International Comparison Of Cost, Access, And Outcomes The still spends more and fares worse on health indicators than most industrialized nations do. by Gerard F. And erso n The
More informationHow To Understand The Economic And Social Costs Of Living In Australia
Australia s retirement provision: the decumulation challenge John Piggott Director CEPAR Outline of talk Introduction to Australian retirement policy Issues in Longevity Current retirement products in
More informationAll persons gainfully employed under age 60. Self-employed are covered also.
Prepared by First Life Financial Company. I SUMMARY Social Security Eligibility Retirement Contributions All persons gainfully employed under age 60. Self-employed are covered also. 60M/F To Social Security:
More informationDelegation in human resource management
From: Government at a Glance 2009 Access the complete publication at: http://dx.doi.org/10.1787/9789264075061-en Delegation in human resource management Please cite this chapter as: OECD (2009), Delegation
More informationHow To Get Health Care In The United States
THE COMMONWEALTH FUND 2005 INTERNATIONAL SYMPOSIUM ON HEALTH CARE POLICY DESCRIPTIONS OF HEALTH CARE SYSTEMS: AUSTRALIA, CANADA, GERMANY, THE NETHERLANDS, NEW ZEALAND, THE UNITED KINGDOM, AND THE UNITED
More informationHealth Insurance. Perception & Reality. Salman Rawaf MD PhD FRCP FFPH. Professor of Public Health Erbil Iraq 2-4 Feb 2011 s.rawaf@imperial.ac.
WHO Collaborating Centre Imperial College London Health Insurance Perception & Reality Salman Rawaf MD PhD FRCP FFPH Professor of Public Health Erbil Iraq 2-4 Feb 2011 s.rawaf@imperial.ac.uk Content Health
More informationB Financial and Human Resources
Chapter B Financial and Human Resources Invested In Education Education at a Glance OECD 2011 203 chapter B Classification of al expenditure Educational expenditure in this chapter is classified through
More informationAccountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
More informationSTATISTICS FOR THE FURNITURE INDUSTRY AND TRADE
STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE Möbel Zahlen Daten STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE 01/36 Economical growth in the regions of the world-economy Changes of the gross domestic
More informationHow To Understand Medical Service Regulation In Japanese
Overview of Medical Service Regime in Japan 75 years or older 10% copayment (Those with income comparable to current workforce have a copayment of 30%) 70 to 74 years old 20% copayment* (Those with income
More informationComparative tables. CPSS Red Book statistical update 427
CPSS Red Book statistical update 427 January 2013 Table 1 Basic statistical data GDP (USD billions) 1 Population (millions, yearly average) Australia 952 1,050 999 1,246 1,500 21.1 21.4 21.8 22.1 22.4
More informationEliminating Double Taxation through Corporate Integration
FISCAL FACT Feb. 2015 No. 453 Eliminating Double Taxation through Corporate Integration By Kyle Pomerleau Economist Key Findings The United States tax code places a double-tax on corporate income with
More informationHow To Get Health Care In The United States
The Commonwealth Fund 2013 International Health Policy Survey in Eleven Countries Robin Osborn and Cathy Schoen The Commonwealth Fund November 2013 The Commonwealth Fund 2013 International Health Policy
More information