Presentatie Leers Augustus 2007 Tbv Chinese Delegation Jppc
1. Ministry of Health and CZ Zorgverzekeringen Tilburg M.Leers august 7 2007 the Dutch Health Care System
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3. Less government More market forces More responsibility and risk Countervailing power downscaling package co-payments output related (free) prices deregulation on planning /prices competition more transparency free choice providers and insurers
4. The Health Care Reform 2006 Insured are free in their choice of insurer; possibility to change every year Health insurers compete for insured on premium, quality, service level Health care providers compete for contracts with insurers on price & quality of care.
5. AWBZ long term care 1st compartment public 2nd compartment private Health Insurance Act Public safeguards Elements of Competition supplementary insurance 3rd compartment private The Health Care Reform 2006
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8. FLOW OF FUNDS Health Care Allowance Nominal premium Income related contribution Risk adjusted contri-bution Bills & payments Government Insurants Risk equali-zation fund Health Insurers Care providers
9. Example Risk equalization 297 7.800 FROM FUND -/- 130 6.202 Diagnosis cost group -/- 315 -/- 315 Pharmaceutical cost group -/- 67 98 Region -/- 63 941 Source of income 872 934 Demographics A working man aged 38, living in a good area, last year no medication nor any hospitalization/chronic diseases A woman aged 40, disability benefit, living in urban area, last year hospitalization for osteoarthritis In euroâs a year
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12. Many changes, in health care emotions remain !! the digital world more risks and doubts technology rules the waves transparency matters full of vitality borderless challenging entrepreneurship
![I The wealthier a country, the greater the lack of care will be found paradigma shift: from acute / infection towards chronicle /degenerative health expenditure: 14% GDP in 2040 22% of labour force in health care in 2025 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Different countries, same problems](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)