The 2nd HPD report - Health Policy Monitor

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independent life), an in-kind benefit to the frail elderly created in 2002, and allocate the funds to the decentralized department-level administrations who would manage them. Additional funding would come from the abolishment of a public holiday. Serious reservations were expressed on whether such a measure would in fact raise revenues (Timbeau 2003). Many other questions remain to be addressed. First, the status of an additional social security branch is not clear, and the split of responsibilities between that new branch and health insurance will undoubtedly be complex to draw. Second, the open-ended characteristic of this branch’s funding as well as its sustainability remain to be discussed. The financial components of the reform will be submitted to the parliament in spring 2004. In May 2004, a commissioned report will be published on the other aspects. Sources and further reading: “Une réforme de solidarité et de fraternité pour les personnes dependantes” (Prime Minister’s Web site: www. premier-ministre.gouv.fr/fr/p.cfm?ref=41376) Timbeau, Xavier: “Impact de la suppression d’un jour férié.” Lettre de l’OFCE n 244, October 20, 2003 (www.ofce. sciences-po.fr/pdf/lettres/244.pdf). Switzerland: Long-term care insurance not (yet) in sight In Switzerland, three different sources finance long-term care services for the elderly: Health insurance, individuals, and taxes. In 2003, government and parliament started a debate about new financing systems for long-term care for the elderly, with emphasis on the definition and organization of new financial sources. The primary aim is to ensure sustainable and transparent financing of long-term services. Sustainable and transparent financing systems for long-term care have been major topics of debate for quite some time. In early 2003, a new regulation following the (not yet passed) second revision of the health insurance law (KVG), changed the reimbursement of nursing care and long-term care institutions. 37 Public Visibility Impact Transferability Despite high cost increases, no new legislation
Santésuisse suggests separate LTCI Health insurances now must pay real costs instead of rates. This measure is expected to raise health care expenditure by about €640 million. This considerable increase thrust the issue onto the agenda again. So far, however, controversy over funding sources has blocked passage of any legislation on the financing of longterm care. Idea Pilot Policy Paper Legislation Adoption Evaluation Change One proposal relevant to the issue of financing called for separate long-term care insurance for people older than 50 years of age. Introduced by the National Association of Health Insurance Funds (“santésuisse”), this proposal would “spin off” financing and reimbursement for long-term care from other health care insurance. The proposal, part of the discussion around the second revision of the 1996 health insurance law, was completely rejected in December 2003. The Swiss Parliament stopped the second revision of the health insurance law and asked the government to present a new proposal on funding of LTCI within 2004. 38 Sources and further reading: www.admin.ch/ www.parlament.ch/homepage/in-pd-parlamentsdienste.htm www.santesuisse.ch/de/
Page 1 and 2: Reinhard Busse, Sophia Schlette (ed
Page 4 and 5: Reinhard Busse, Sophia Schlette (ed
Page 6 and 7: Contents Editorial ................
Page 8: Newsflash .........................
Page 11 and 12: Partner institutions were selected
Page 13 and 14: - Relevance and scope - Impact on s
Page 15 and 16: The figure below illustrates a poli
Page 18 and 19: Introduction This second issue of
Page 20 and 21: the extent to which private financi
Page 22 and 23: Health and Aging Long life expectan
Page 24 and 25: To address such a broad spectrum of
Page 26 and 27: The “National Strategy for an Age
Page 28 and 29: Finally, the reform introduces pers
Page 30 and 31: Idea Pilot Policy Paper Legislation
Page 32 and 33: Sources and further reading: Depart
Page 34 and 35: insurance. An employee who requests
Page 36 and 37: Sources and further reading: “Obs
Page 40 and 41: Reform of long-term care coverage A
Page 44 and 45: ciated with removing assets testing
Page 46 and 47: Sources and further reading: Depart
Page 48 and 49: coverage only to seniors enrolled i
Page 50 and 51: Pharmaceutical Policies Pharmaceuti
Page 52 and 53: eimbursement rate is 35 percent. Mo
Page 54 and 55: From 1994 to 2003, prices for all p
Page 56 and 57: keep products eligible for reimburs
Page 58 and 59: Austria: Criteria for reimbursable
Page 60 and 61: Federation of Austrian Social Secur
Page 64 and 65: Spain has now introduced a variety
Page 68 and 69: Human Resources for Health The past
Page 70 and 71: California: First-in-nation rules o
Page 74 and 75: Canada: A co-coordinated and compre
Page 76 and 77: Newsflash In this section, we follo
Page 78 and 79: ance (“Haut Conseil pour l’Aven
Page 80 and 81: law will allow some 14 percent of C
Page 82 and 83: Lieberman) proposed to finance the
Page 84 and 85: The policy emphasizes personal resp
Page 86 and 87: Canada: Independent council for qua
Page 88 and 89:
New Zealand: Improving quality—a
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1 International Monitor on Health P
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- Degree of innovation (compared wi
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9. Long-term care: Long-term care a
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Please photocopy and fill out the f
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6 Responsiveness to and empowerment
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Sources of information Please indic
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❒ International organizations ❒
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Patients Civil society Private sect
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Structured summary Q 5.4 (optional)
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7. Rating this policy (expert opini
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Call for Support International Netw
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Topics could be - Integrated care a
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The 2nd HPD report - Health Policy Monitor

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