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Financing and fiscal sustainability: Achilles‘ heel of the German health system?

Financing and fiscal sustainability: Achilles‘ heel of the German health system?. Markus Schneider (BASYS). Questions?. How sustainable is the German health system? Is financing via contributions a reason for concern? What are measures to increase fiscal sustainability?.

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Financing and fiscal sustainability: Achilles‘ heel of the German health system?

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  1. Financing and fiscal sustainability: Achilles‘ heel of the German health system? Markus Schneider (BASYS) Bad Hofgastein 27September 2002

  2. Questions? • How sustainable is the German health system? • Is financing via contributions a reason for concern? • What are measures to increase fiscal sustainability? Bad Hofgastein 27September 2002

  3. Health Expenditure as % of the GDP West-Germany Bad Hofgastein 27September 2002

  4. Annual Growth Rates(West-Germany) Bad Hofgastein 27September 2002

  5. Financing of THE as % of GDP(West Germany) Bad Hofgastein 27September 2002

  6. Average contribution rate of GKV (%) Bad Hofgastein 27September 2002

  7. Willingness to pay contribution Source: WidO 2002 Bad Hofgastein 27September 2002

  8. „Shunts“ Bad Hofgastein 27September 2002

  9. Cost-control • Bulit-in-Stabilizer • Pharmaceuticals • Integration • Health Centers • Disease Management • Prevention • Choice of Gate-keeping Bad Hofgastein 27September 2002

  10. Conclusions • Financing via contributions is not the Achilles‘ heel of the German health system • Institutional restrictions, which limit selective contracting, vertical and horizontal integration, and the choice of tarifs in the statutory system, are rather the Achilles‘ heel of the German health system Bad Hofgastein 27September 2002

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