health financing mechanisms and options - asia...

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2010/SOM3/LSIF/024

Health Financing Mechanisms and Options

Submitted by: Universitas Indonesia (UI)

Life Sciences Innovation ForumSendai, Japan

18-19 September 2010

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Universitas IndonesiaDepok, 16424 Indonesia

Health Financing MechanismsHealth Financing Mechanisms and Options

H b ll h Th b

Personal view, [email protected]

Hasbullah Thabrany

Center for Health Economics and Policy

Universitas Indonesia

Presented at the APEC Life Sciences Innovation Forum VIII, September 18‐19, 2010Sendai, Japan

Universitas IndonesiaDepok, 16424 Indonesia Outline

1. Quick outlook of health care financing i di t i th W ld d th R iindicators in the World and the Region

2. Problems of health care financing

3. The goals for health care financing

4. Some mechanisms and options for health care financingcare financing

5. Priority for reforms

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Philippines

Republic of Korea

Russian Federation

Singapore

Thailand

United States of America

Viet Nam

Total Health Expenditure as % of GDP of APEC China

Indonesia

Japan

Malaysia

Mexico

New Zealand

Papua New Guinea

Peru

Philippines

2007

2000

of APEC Members

0 5 10 15 20

Australia

Brunei Darussalam

Canada

Chile

China

% GDPTaiwan and Hong Kong not available9/24/2010 6H.Thabrany‐‐Personal view

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Per Capita Peru

Philippines

Republic of Korea

Russian Federation

Singapore

Thailand

USA

Total Health Expenditure at Int$ of APEC China

Indonesia

Japan

Malaysia

Mexico

New Zealand

Papua New Guinea

e u

2007

2000

Members

0 2000 4000 6000 8000

Australia

Brunei Darussalam

Canada

Chile

Per Capita Expenditure9/24/2010 7H.Thabrany‐‐Personal view


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What Are the Goals of Health Care Financing Systems?



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The Singaporean Mix Model

Singaporeans worried about moral hazard and fraud of using public funding but aware offraud of using public funding, but aware of market failures. It used three mechanisms

1. Medisave. Mandatory saving for relatively low to moderate health care costs.

2. Medishield. Social health insurance scheme f t t hi h lthfor catastrophic health care

3. Medifund. A tax funded medicaid/subsidies for low income/the poor



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Source WHO, 2010

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health financing mechanisms and options - asia...

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