The 2nd HPD report - Health Policy Monitor

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ance (“Haut Conseil pour l’Avenir de l’Assurance Maladie”), whose major task is to hold public consultations. Discussions have centered on better balance between individual and public responsibility, equitable access and the possible role of market mechanisms to achieve both. Most proposals have come from insurance companies. Not-forprofit insurers favor various forms of a public-private mix and co-management of the system. By contrast, for-profit insurers prefer public minimum insurance (covering only catastrophic expenditure) or managed-care models such as health maintenance organizations or preferred provider organizations. The Steering Committee report will compile and present proposals that may serve as a basis for the debate on the social security budget bill. Critics initially blamed physicians for the inefficiencies of the system. The new government evidently holds patients responsible for the public health insurance system’s highest-ever deficit. Sources and further reading: Poindron, Pierre-Yves. “Réforme de l’assurance maladie, ce que veulent les professionnels de santé.” Le Concours Médical 125 (19) 2003, 1078–1080. www.eiro.eurofound.eu.int/2003/06/feature/fr0306106f. html www.legifrance.gouv.fr/WAspad/UnTexteDeJorf? numjo=SANC0323820D www.sante.gouv.fr/htm/actu/chadelat.pdf Republic of Korea: Merger of health insurance societies in 2000 In 1998, a change in government opened a window of opportunity for long-overdue health care financing reform. In 1999, the South Korean parliament passed a law urging the country’s existing 350 insurance societies to merge. A single nationwide insurance company came into being in July 2000. Many of South Korea’s insurance societies, especially those in rural areas or those covering the self-employed, were nearly bank- 77 For-profit and not-for-profit insurers take different views New government—new punching bag Public Visibility Impact Transferability
Monopsony in social health insurance Improved equity in health care financing Public Visibility Impact Transferability rupt. As a result, their members had to pay very high contribution rates. This raised concerns of inequity, because the contributions represented a higher proportion of the members’ income. Under the new single-payer system, a sole agency will collect insurance contributions and provide coverage to all the insured. The major aim of the reform of the year 2000 was to achieve equity in health care financing and to solve the fiscal insolvency of some insurance societies. In addition, savings in personnel and administrative costs were expected to enhance efficiency. Idea Pilot Policy Paper Legislation Adoption Evaluation Change It remains for future evaluations to show whether difficulties concerning income assessment of self-employed workers and those employed in smaller companies give rise to new inequities. Sources and further reading: Kwon, Soonman: “Health care financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?” International Social Security Review 56 (1) 2003, 75–94. Kwon, Soonman, and Michael R. Reich: “The Changing Process and Politics of Health Policy in Korea.” Harvard Center for Population and Development Studies, October 2003 (www.hsph.harvard.edu/hcpds/wpweb/Kwon%20w p1310.pdf). California: Democrats pass employer mandate for health insurance Shortly before leaving office in autumn 2003, California Governor Gray Davis signed a law that expands the availability of health insurance for California’s workforce (cf. HPD 1/2003). The new 78
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Reinhard Busse, Sophia Schlette (ed
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Reinhard Busse, Sophia Schlette (ed
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Contents Editorial ................
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Newsflash .........................
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Partner institutions were selected
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- Relevance and scope - Impact on s
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The figure below illustrates a poli
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Introduction This second issue of
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the extent to which private financi
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Health and Aging Long life expectan
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To address such a broad spectrum of
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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 38 and 39: independent life), an in-kind benef
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 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
Page 90 and 91: 1 International Monitor on Health P
Page 92 and 93: - Degree of innovation (compared wi
Page 94 and 95: 9. Long-term care: Long-term care a
Page 96 and 97: Please photocopy and fill out the f
Page 98 and 99: 6 Responsiveness to and empowerment
Page 100 and 101: Sources of information Please indic
Page 102 and 103: ❒ International organizations ❒
Page 104 and 105: Patients Civil society Private sect
Page 106 and 107: Structured summary Q 5.4 (optional)
Page 108 and 109: 7. Rating this policy (expert opini
Page 110 and 111: Call for Support International Netw
Page 112 and 113: Topics could be - Integrated care a
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The 2nd HPD report - Health Policy Monitor

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