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Innovation in European healthcare – what can Sweden learn? - LIF

Innovation in European healthcare – what can Sweden learn? - LIF

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The German health care system is based on an allembrac<strong>in</strong>g<br />

social health <strong>in</strong>surance system<br />

• A social health <strong>in</strong>surance system, based<br />

on solidarity<br />

• Adm<strong>in</strong>istered through 144 statutory<br />

health <strong>in</strong>surance funds (used to be 300 a<br />

few years ago - rapidly decreas<strong>in</strong>g<br />

through mergers)<br />

• Compulsory affiliation up to a certa<strong>in</strong><br />

<strong>in</strong>come break-po<strong>in</strong>t (<strong>in</strong> 2012, € 4237,50)<br />

11 %<br />

Pension<br />

<strong>in</strong>surance<br />

Private<br />

<strong>in</strong>surance<br />

8%<br />

Other<br />

4%<br />

12%<br />

Co-payments drugs<br />

and<br />

dental care, <strong>in</strong>terest,<br />

etc<br />

– ~89 % of the population belong<br />

– Individuals above break-po<strong>in</strong>t may bail out<br />

• A multitude of providers - private and<br />

public<br />

General<br />

taxation<br />

(grows<br />

under new<br />

system)<br />

8%<br />

57%<br />

Statutory <strong>in</strong>surance<br />

• Slowly grow<strong>in</strong>g importance of private<br />

health <strong>in</strong>surance as well as the fully<br />

private market<br />

– 8,95 mill people (10,95% of the population) is fully<br />

privately <strong>in</strong>sured (2011)<br />

Total expenditure on health<br />

as % of GDP<br />

Public expenditure on<br />

health as % of total<br />

11,6 %<br />

76,9 %<br />

30<br />

Private expenditure on<br />

health as % of total<br />

23,1 %

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