1 / 45

Cost Cutting in Health Care: The Greek Experience

Explore the Greek health care system's challenges and reforms, from the pre-crisis era to present. Analyze the impact of cost control measures and their effects on access and coverage. Discover the importance of balancing efficiency and quality in health care delivery.

bwoody
Download Presentation

Cost Cutting in Health Care: The Greek Experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Professor Nikos Maniadakis BSc (Athens), MSc (York), PhD (Warwick) COST CUTTING IN HEALTH CARE: THE GREEK EXPERIENCE Department Director & Alternate Dean Health Services Organization & Management National School of Public Health Athens Adviser (2011/15), Minister of Health Coordinator (2011/15), Health Care Reforms National Expert (20014-17), Health System Performance Assessment, European Commission, Brussels

  2. THE ERA PRIOR TO THE CRISIS

  3. Significant economic growth for 30 years

  4. Top health care spender

  5. Comparable to OECD top countries

  6. Proportionally low public funding

  7. An inefficient health care system

  8. An non-effective health care system

  9. With over consumption of technology Source:Differences in cost of and access to pharmaceutical products in the EU; European Parliament, by Kanavos et al. March 2011

  10. Absence of primary care

  11. Absence of health public health policy

  12. Dissatisfied citizens

  13. Absence of research and investment

  14. EMERGENCY THERAPY WAS NEEDED !!!

  15. Health Care Reforms, 2010-2015 Agreed with Troika at MoU Increase Efficiency, Meet Fiscal Targets, Modernize

  16. Largest cuts in OECD

  17. Greece pharma expenditure trends

  18. Largest cuts in pharma

  19. Nonetheless we are appear still to spend a lot

  20. Per capita spending has gone down

  21. But we still appear to spend a lot

  22. Two sides of policy!!

  23. Unmet need has gown up

  24. Quality has gone down

  25. TRENDS

  26. Pharmaceutical Drivers Pricing and Cost Control Prices Margins Discounts Prescription Demand Control Promotion Socio-economics Dispensing Coverage: breadth, scope, depth Reimbursement Policy

  27. Prevailing European Policies • ACCES • COVERAGE Optimal balance ? • COST

  28. Benchmarking Policies Russia vs Others by Income Groups* ON PATENT PRICING • Vs Upper • + Price controls • Demand control • Depth of coverage • Scope of coverage • Breadth of coverage • Dispensing controls • Indirect price /cost controls OFF PATENT PRICING DEMAND CONTROL GENERIC PRICING DESPENSING CONTROL COVERAGE - DEPTH INDIRECT PRICE CONTROLS COVERAGE - SCOPE COVERAGE - BREADTH *Based on the definition by the Word Bank Source: ISPOR presentation 2013

  29. Emphasis on Access and Coverage • Breadth: >>who to cover • Scope: >>what to cover • Depth: >>how much to cover COVERGE Source: World Health Organisation: World Health Report, 2010

  30. Benefit of medicines

  31. Life Expectancy and Drug Spending • Higher Spending >> Better Health • Better Health >> Higher Spending EFPIA, Facts and Figures 2014

  32. Better Health is a Contributor to Better Economy and Growth

  33. Some concluding remarks

  34. “Health is the greatest of human blessings” • Hippocrates, 460 – 370 BC Hippocrates

More Related