The leading global network of the health insurance industry

Report
The leading global network of the health
insurance industry
Tom Sackville
NHS (England)
MINISTER
STAFF 1.4m
POPULATION 55.4m
© Assembléon 4
© Assembléon 5
NHS (England)
PERMANENT
SECRETARY
STAFF 1.4m
POPULATION 55.4m
UK PMI Market 2000 -2010
7800
7600
l
i
7400
v
e
s
7200
c
o
7000
v
e
r 6800
e
d
6600
6400
2001
2002
Source Laing & Buisson 2011
2003
2004
2005
2006
2000 - 2010
2007
2008
2009
2010
2011
Physicians (Per 10,000 Population) 2010
45
42
40
41
39
37
36
35
35
35
30
29
30
27
27
25
20
15
10
5
US
A
UK
o
ex
ic
M
lia
Au
st
ra
Fr
an
ce
Sw
ed
en
G
er
m
an
y
Sp
ai
n
Ita
ly
Sw
it z
er
la
nd
Ne
th
er
la
nd
s
0
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
7.8
8
6.9
6.4
6.4
5.9
6
5.9
5.7
4.3
4.0
4.0
SWIZ*
US*
4
2
0
DEN
GER
FR
Source: OECD Health Data 2010 (Oct. 2010).
AUS
OECD
Median
NETH
UK
CAN*
NZ*
Number of Acute Care Hospitals Beds
per 1,000 Population
5.7
6
5
3.6
4
3.5
3.1
3
2.9
3
2.7
2.7
2.6
2
1
UK
US
A
Ca
na
da
ar
k
De
nm
Ne
th
er
la
nd
s
ly
Ita
Sw
it z
er
la
nd
Fr
an
ce
G
er
m
an
y
0
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 and register to
receive e-mail alerts. Commonwealth Fund pub. no. 1417
Average length of stay in hospital for all causes, 2000 and 2009 (or nearest year)
Days
2000
2009
0
Source: OECD Health Data 2011; WHO-Europe for the Russian Federation and national sources for other non-OECD countries.
4.3
3.9
4.3
4.5
4.8
9.7
5
4.6
4.9
5.6
5.1
5.7
5.6
5.7
5.8
5.8
6.0
5.9
6.1
6.4
6.2
6.7
6.9
6.7
7.0
7.2
7.2
7.2
7.5
7.3
7.7
7.8
7.7
8.6
10
8.7
9.7
13.6
12.5
15
14.6
20
18.5
25
FOR ILLUSTRATIVE PURPOSES ONLY
Hospital Revenue and Expenses per Admission
(American Hospitals)
Sources: American Hospital Association, “AHA Trendwatch Chartbook 2008,” 2008.
13
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
$118
Argentina
$230
Spain
$319
$335
$363
Netherlands
United
Kingdom
France
USA 25th Percentile
Chile
Average Price
$554
$522
New Zealand Switzerland South Af rica United States
USA 95th Percentile
($ USD)
15
2012 Cost Per Hospital Day
$12,537
$4,287
$429
$476
$665
Argentina
Spain
South Af rica
$731
$853
$964
$979
Netherlands
France
Chile
New Zealand
USA 25th Percentile
Average Price
$1,472
$1,514
Australia
United States
USA 95th Percentile
($ USD)
16
2012 Total Hospital and Physician Cost: Appendectomy
$29,426
$13,851
$8,156
$2,245
$3,381
$3,408
South Af rica
United
Kingdom
$4,221
$4,498
$4,463
$4,782
Chile
Netherlands
France
Switzerland
$5,392
$5,467
New
Zealand
Australia
$953
Argentina
Spain
USA 25th Percentile
Average Price
United
States
USA 95th Percentile
($ USD)
17
2012 Total Hospital and Physician Cost: Hip Replacement
$87,987
$40,364
$27,810
$7,731
$11,889
$13,409
$9,574
$11,187
$14,390
$10,927
Switzerland
France
Netherlands
United
Kingdom
Chile
New
Zealand
$25,061
$15,403
$3,365
Argentina
Spain
USA 25th Percentile
Average Price
South Af rica Australia
United
States
USA 95th Percentile
($ USD)
18
2012 Physician Fees: Cataract Surgery
$1,839
$1,311
$1,048
$922
$699
$286
$420
$426
Spain
France
$651
$332
$157
Argentina
Netherlands
South Af rica
USA 25th Percentile
Average Price
Canada
Chile
Australia
United States
USA 95th Percentile
($ USD)
19
2012 Drugs: Lipitor
Lipitor is commonly prescribed for high cholesterol.
$145
$124
$100
$60
$39
$11
$13
South Af rica
Spain
$48
$43
$6
New Zealand
USA 25th Percentile
Argentina
United Kingdom
Average Price
France
Chile
United States
USA 95th Percentile
($ USD)
20
2012 Drugs: Cymbalta
Cymbalta is commonly prescribed for depression, anxiety, and fibromyalgia.
$317
$176
$149
$113
$70
$77
$84
Switzerland
Argentina
$57
$47
$48
France
United Kingdom
South Af rica
USA 25th Percentile
Spain
Average Price
Canada
United States
USA 95th Percentile
($ USD)
21
2010 Health Spending as Percent of GDP
17.6%
11.4%
9.1%
9.6%
9.6%
11.4%
11.6%
10.1%
9.5%
OECD Average
8.0%
Chile
Australia
Spain
United
Kingdom
New Zealand
Canada
Switzerland
France
United States
Source: OECD Health Spending 2012. Data represents 2010 or most recent year.
22
High health-care costs: It’s all in the pricing
By Ezra Klein
© Assembléon 23
• 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.
By Ezra Klein
© Assembléon 24
Percentage of Population Covered by Private Hospital Insurance
December 1976 to December 2011
75
70
65
"Basic" Premiums qualify for Tax Rebate
Means testing in Public Hospitals
Medical Rebates for Insured Only
60
MEDICARE introduced (February 1984 )
55
50
Lifetime Health Cover introduced (July 2000)
45.7%
45
40
35
30
MeansTested 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

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