Affordability and Accessibility

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GDP vs Health Care Levels: 2006Health expPer capita$US PPPsHealth Expenditure vs GDP2006: R 2 =0.83800070006000500040003000200010000USALuxTurkey0 10000 20000 30000 40000 50000 60000 70000GDP per capita $US PPPs(OECD, 2008)
Health expenditure growth versus GDP GrowthTotal health expenditure per capita(US$ PPP)Compound annual rate of growth1970-1975 1975-1980 1980-1985 1985-1990 1990-1995 1995-2000 2000-2005France 13.5 12.4 9.3 7.2 6.6 3.8 6.3Germany 16.2 11.2 7.7 4.7 5.2 3.4 4.5UK 12.9 9.8 8.1 6.8 6.9 6.1 7.9USA 11 12.6 10.6 9.2 5.9 4.6 7Canada 9.8 10.2 10.1 6.6 3.4 4.1 6.6GDP per capita (US$ PPP) Compound annual rate of growth1970-1975 1975-1980 1980-1985 1985-1990 1990-1995 1995-2000 2000-2005France 9.7 10.2 6.5 6.3 3.2 4.3 3.2Germany 8.8 11 6.9 5.9 1.1 3 3.8UK 8.6 9.1 7.2 6.3 3.9 5.2 5.2USA 8.5 10.1 7.6 5.6 3.6 4.6 3.9Canada 9.5 10.0 7.0 4.7 3.0 4.5 4.3Health care expenditure growth > GDP growth in ALL OECD; except Finl<strong>and</strong>2005-20076.04%4.41%3.52%5.41%5.43%4.88%4.80%4.69%4.28%4.42%(OECD, 2008)
Page 1: Accessibility and Affordability:Inn
Page 6 and 7: Healthy life expectancy at birthDim
Page 8 and 9: BasicProcedureResults
Page 10 and 11: BasicProcedureResults
Page 12 and 13: Health expenditure: What drives it?
Page 14 and 15: DRGs contd.• DRG prospective paym
Page 16 and 17: Existing research: Regulated Compet
Page 18 and 19: Pharmaceutical market value (ex man
Page 20 and 21: Overview of different Price and rei
Page 22 and 23: CostsCost-effectiveness PlaneHigher
Page 24 and 25: European overview: Pricing &reimbur
Page 26 and 27: Germany• Population 82mn• GDP $
Page 28 and 29: IQWiG: Institut für Qualität undW
Page 30 and 31: German reforms1. Substantial additi
Page 32 and 33: France• Complex system- Framework
Page 34 and 35: France• New products- Price set f
Page 36 and 37: UK• Current reforms (increase in
Page 38 and 39: UK VbP• Price setting remains wit
Page 40 and 41: USA• Population 304mn• GDP $ 46
Page 42 and 43: Expansion of US population coverage
Page 44 and 45: …other matters• Adverse selecti
Page 46 and 47: Conclusions• Regulation increasin
Page 48: Where can you help?• Studies- Joi

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