Transcript The leading global network of the health insurance industry
The leading global network of the health insurance industry
Tom Sackville
NHS (England)
MINISTER STAFF 1.4m POPULATION 55.4m
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NHS (England)
PERMANENT SECRETARY STAFF 1.4m POPULATION 55.4m
UK PMI Market 2000 -2010
7800 7600
i l v e s
7400 7200
c o v e r e d
7000 6800 6600 6400 2001 2002 2003 2004 2005 2006
2000 - 2010
2007 2008 2009 2010 2011 Source Laing & Buisson 2011
Physicians (Per 10,000 Population) 2010 45 40 15 10 5 0 35 30 25 20 42 41 Ita ly S w itz er la nd N et he rla nd s 39 37 36 S pa in S w ed en G er m an y 35 35 30 Fr an ce A us tra lia M ex ic o 29 UK 27 U S A 27
Definitions:
Physicians: Includes generalists and specialists.
Sources:
WHO, World Health Statistics 2011, available at: http://www.who.int/whosis/whostat/2011/en/index.html
.
Physician Visits per Capita Per Year, 2008
10 8.9
8 7.8
6.9
6.4
6.4
5.9
5.9
5.7
6 4.3
4.0
4.0
4 2 0 DEN GER FR AUS OECD Median NETH UK CAN* NZ* SWIZ* US*
Source: OECD Health Data 2010 (Oct. 2010).
Number of Acute Care Hospitals Beds per 1,000 Population
6 5 4 5.7
3 2 1 0 G er m an y 3.6
Fr an ce S w itz er la nd 3.5
3.1
3 2.9
Ita ly N et he rla nd s D en m ar k 2.7
C an ad a U S A 2.7
UK 2.6
THE COMMONWEALTH FUND
Source : “International Profiles of Health Care Systems”, The Commonwealth Fund June 2010 To learn more about new publications when they become available, visit the Fund’s Website http://www.commonwealthfund.org
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10 5 0 Days 25 20 15
Average length of stay in hospital for all causes, 2000 and 2009 (or nearest year)
2000 2009
Source: OECD Health Data 2011
; WHO-Europe for the Russian Federation and national sources for other non-OECD countries.
FOR ILLUSTRATIVE PURPOSES ONLY Hospital Revenue and Expenses per Admission (American Hospitals)
International Federation of Health Plans 2012 Comparative Price Report Medical and Hospital Fees by Country www.ifhp.com
2012 Scanning and Imaging: MRI $2,871 $1,072 $1,121 $928 $502 $554 $522 $319 $335 $363 $230 $118 Argentina Spain Netherlands United Kingdom France Chile New Zealand Switzerland South Af rica United States USA 25 th Percentile Average Price USA 95 th Percentile ($ USD) 15
2012 Cost Per Hospital Day $12,537 $4,287 $429 Argentina $476 Spain $665 $731 $853 South Af rica Netherlands France $979 $1,472 $1,514 $964 Chile New Zealand Australia United States USA 25 th Percentile Average Price USA 95 th Percentile ($ USD) 16
2012 Total Hospital and Physician Cost: Appendectomy $29,426 $13,851 $8,156 $5,392 $5,467 $3,381 $3,408 $2,245 $953 Argentina Spain South Af rica United Kingdom $4,221 Chile $4,498 $4,463 $4,782 Netherlands France Switzerland New Zealand Australia United States USA 25 th Percentile Average Price USA 95 th Percentile ($ USD) 17
2012 Total Hospital and Physician Cost: Hip Replacement $87,987 $40,364 $27,810 $25,061 $9,574 $10,927 $11,187 $11,889 $13,409 $14,390 $15,403 $7,731 $3,365 Argentina Spain Switzerland France Netherlands United Kingdom Chile New Zealand South Af rica Australia United States USA 25 th Percentile Average Price USA 95 th Percentile ($ USD) 18
2012 Physician Fees: Cataract Surgery $1,839 $1,311 $1,048 $699 $922 $651 $420 $332 $286 $157 Argentina Netherlands South Af rica Spain $426 France Canada Chile Australia United States USA 25 th Percentile Average Price USA 95 th Percentile ($ USD) 19
2012 Drugs: Lipitor
Lipitor is commonly prescribed for high cholesterol.
$145 $124 $100 $60 $48 $43 $39 $11 $6 New Zealand South Af rica $13 Spain USA 25 th Percentile ($ USD) Argentina United Kingdom France Average Price USA 95 th Percentile Chile United States 20
2012 Drugs: Cymbalta
Cymbalta is commonly prescribed for depression, anxiety, and fibromyalgia.
$317 $176 $149 $113 $70 $77 $84 $57 $47 $48 ($ USD) France United Kingdom South Af rica Spain USA 25 th Percentile Switzerland Argentina Average Price USA 95 th Percentile Canada United States 21
2010 Health Spending as Percent of GDP
17.6% 8.0% 9.1% 9.6% 9.6% 10.1% 11.4% 11.4% 11.6% 9.5% OECD Average Chile Australia Spain United Kingdom New Zealand Canada Switzerland France United States
Source: OECD Health Spending 2012. Data represents 2010 or most recent year.
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High health-care costs: It’s all in the pricing By Ezra Klein
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• Every year, iFHP, a global insurance trade association that includes more than 100 insurers in 25 countries — releases survey data showing the prices that insurers are actually paying for different drugs, devices, and medical services in different countries. And every year, the data is shocking.
The IFHP just released the data for 2012. And yes, once again, the numbers are shocking. This is the fundamental fact of American health care: We pay much, much more than other countries do for the exact same things. But this post isn’t about the why. It’s about the prices, and the graphs.
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Percentage of Population Covered by Private Hospital Insurance
December 1976 t o December 2011
75 70 65 60 "Basic" Premiums qualify for Tax Rebate Means testing in Public Hospitals Medical Rebates for Insured Only MEDICARE introduced (February 1984 ) 55 50 45 Lifetime Health Cover introduced (July 2000) 45.7% 40 35 30 Means Tested Rebate introduced (July 1997) Medicare Levy Surcharge Introduced 30% Rebate 25
Dec-76 Dec-78 Dec-80 Dec-82 Dec-84 Dec-86 Dec-88 Dec-90 Dec-92 Dec-94 Dec-96 Dec-98 Dec-00 Dec-02 Dec-04 Dec-06 Dec-08 Dec-10 Dec-12