Statistical Data on Health and Accident Insurance2014 Edition

Sources • Health Expenditure in Selected Countries: OECD Health Data 2014.• Health Care Financing (POV health insurance premiums): FOPH, Statistik der

obligatorischen Krankenversicherung, T 9.06, 9.08.• Compulsory Health Insurance Indicators: FOPH, Statistik der obligatorischen

Krankenver-sicherung, T 1.01, 2.07, 3.06, 4.01, 11.01.• Health Insurance Premiums and Costs: FOPH, Statistik der obligatorischen

Kranken-versicherung, T 1.01, 2.12, 3.04, 5.01.• Cost Categories: FOPH, Statistik der obligatorischen Krankenversicherung,

T 1.01, 2.17, 11.01.• Accident Insurance: FSIO, Schweizerische Sozialversicherungsstatistik, AA 1.3. • In-Patient Service Providers and Home Nursing Services: FOPH, Statistik

der obligatorischen Krankenversicherung, T 2.16, 2.18, 9.20; FSO, Statistik der sozialmedizinischen Institutionen, T 14.4.3.0.1, Standard Table 4 A; FSO, Spitex Statistik, T 6.3; FSO, Krankenhausstatistik, T 14.3.2.1, Standard Table C1; FSO, Medizinische Statistik der Krankenhäuser, T 14.4.2.1.1.

Links to further information (only in German and French)Health insuranceTime series and data archive: www.bag.admin.ch/pyramidenLatest health insurance statistics data, continuously updated: www.bag.admin.ch/kvstat Monitoring of ongoing cost development: www.bag.admin.ch/kmt Service providersFederal Statistical Office: www.bfs.admin.ch Topic 14 (Health)Key figures and quality indicators of Swiss hospitals: www.bag.admin.ch/kvspiSummary statisticsHealth care costs: www.bfs.admin.ch Topic 14 (Health)Swiss Social Insurance Statistics: www.bsv.admin.ch

Publisher: Federal Office of Public Health Publication Date: 01-2015Editor: Section Data Management and Statistics, KUVInformation: KUV-DMS@bag.admin.ch Supplier: www.bundespublikationen.ch Order number: 316.951.eng2015-KUV-01 1600d 750f 500i 500e

Figures in millions CHF 2003 2012 2013 ∆12/13

Total revenue 6 980 8 695 8 304 -4,5%

of which premiums 5 015 6 118 6 082 -0,6%

of which return on capital 1 612 2 260 1 919 -15,1%

Total expenditure 5 219 6 199 6 357 +2,5%

of which short-term benefits 2 915 3 446 3 573 +3,7%

of which -Medical expenses 1 295 1 687 1 830 +8,5%

of which -Daily allowances 1 621 1 759 1 743 -0,9%

of which long-term benefits 1 613 1 915 1 930 +0,8%

of which administrative cost 562 701 716 +2,1%

of which accident prevention 125 134 136 +1,2%

Net creation of provisions 1 555 774 652 -15,7%

Operating result -92 226 292 +29,2%

Provisions/Reserves (31 Dec.) 31 403 47 176 48 189 +2,1%

1 Non-occupational accident insurance | 2 Occupational accident insurance

Accident Insurance (SUVA and other Insurances Providers)

0

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1995 1997 1999 2001 2003 2005 2007 2009 2011 2013

Pre

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Premiums NBU Premiums NBU

Premiums BU Premiums BU

SuvA Other Insurances Providers

2011 2012 2013

Gross benefits (in-patient, compulsory HI), m CHF 7 600 7 821 8 695

per insured, CHF 967 983 1 081

of which hospitals, m CHF 5 696 5 937 6 816

of which per insured, CHF 724 747 847

of which nursing homes, m CHF 1 847 1 846 1 838

of which per insured, CHF 235 232 228

Hospital days (compulsory HI), in 1,000s 11 005 10 706 12 516

of which children (ages 0 to 18), in 1,000s 443 454 599

of which women (over 18 years), in 1,000s 5 865 5 772 6 629

Hospital days/admission, days 8,9 8,7 9,4

Clients in nursing homes, number 137 869 143 200 146 534

of which women, number 96 542 99 840 102 032

Treatment days in nursing homes, in 1,000s 30 590 31 513 31 509

Home nursing clients (benefits of HI)1, nr. 205 737 217 197 221 719

Treatment hours per client, hours 51 52 541 incl. for-profit organisations and independent nursing professionals.

In-Patient Service Providers and Home Nursing Services

Specialist hospitals

Rehabilitation hospitals

Psychiatric hospitals

General hospitals,basic service

General hospitals,central service

Hospitals Beds Discharges

Total 2013 (number) 293 37 743 1 350 441

85

3 155 98 559

3 29045 66756 502

313 882

835 831

6 308

6 166

18 824

43

52

74

39

Health Expenditure in Selected Countries

Percentage of GDP CHF per person1

2002 2012 2002 2012 Ø 2002-2012

Italy 8,3 9,2 3 957 4 372 +1,1%

Spain 7,3 9,3 3 091 4 070 +3,0%

Great Britain 7,6 9.3 3 883 4 535 +1,7%

Schweden 9,2 9,6 4 777 5 594 +1,6%

Austria 10,1 11,1 5 414 6 671 +2,1%

Germany 10,6 11,3 5 197 6 555 +2,4%

Switzerland 10,9 11,4 6 505 8 460 +2,7%France 10,5 11,6 5 192 5 843 +1,2%

United States 15,2 16,9 9 658 12 154 +2,4%

1 Adjusted for purchasing power parity per the OECD purchasing power parities for GDP.

Health Care Financing 2012(POV health insurance premiums)

Total: CHF 68,0 billion 1 incl. Financing balance (+43,8 million.)

Out-of-Pocket

Top-up insurance

Military insuranceInvalidity insurance

Cost sharing

Net premiums1

Premium subsidies

Others systems of social security

State

Compulsory health insurance41,3%

Others (private)

Compulsory Health Insurance: Indicators

2003 2012 2013 ∆12/13

Insured, in 1,000s 7 373 7 953 8 046 +1,2%

Premiums due, m CHF 16 820 24 458 24 984 +2,2%

ø per adult, CHF/year 2 679 3 576 3 610 +0,9%

ø per child, CHF/year 775 937 932 -0,5%

Premium subsidy1, m CHF 3 066 3 968 4 015 1,2%

Share of central government (%) 65,0 54,2 54,3 ...

Beneficiaries, in 1,000s 2 428 2 308 2 253 -2,4%

Share of insured (%) 32,9 29,0 28,9 ...

Subsidy per recipient, CHF/year 1 263 1 719 1 782 +3,7%

Paid benefits, m CHF 15 336 22 196 24 031 +8,3%

as percentage of premiums 91,2 90,8 96,2 ...

ø per adult, CHF/year 2 450 3 226 3 445 +6,8%

ø per child, CHF/year 664 931 1 015 +9,0%

Administrative costs2, m CHF 863 1 242 1 263 +1,7%

per insured, CHF/year 117 156 157 +0,5%

Share of expenditures (%) 5,2 5,2 5,0 ...

Total operating result, m CHF 400 916 -141 ...

Reserves3 per 31 Dec., m CHF 2 394 6 504 6 362 -2,2%

1 As of 2012 for the canton of Bern the amount payable towards health insurance premi-ums of supplementary benefits and social assistance recipients is no longer considered entirely as a premium reduction. Consequently, as of 2012 are only partially comparable with those of previous years. | 2 Including depreciation. | 3 The figures from 2012 are not comparable with those from previous years due to the release of hidden reserves.

Health Insurance: Premiums and Costs

Paid benefits (PB) and Premiums (Pr)

in CHF per person and month 2013

PB Pr PB Pr PB Pr

AI 173 187 LU 217 223 BE 254 276

UR 198 210 SG 217 224 JU 256 263

ZG 205 217 GL 218 230 NE 261 263

NW 209 198 VS 226 238 TI 265 284

AR 209 209 AG 232 241 BL 275 281

OW 211 205 FR 236 242 VD 277 283

GR 212 227 SH 239 248 GE 317 322

SZ 213 220 SO 244 248 BS 334 360

TG 214 224 ZH 251 259 CH 249 259

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Administrative costsPaid benefits

Premiums

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Health Insurance: Cost Categories 2013

Cost category Gross benefits3

in millions CHF CHF per pers. percentage

Physician, out-patient1 6 242 776 22,4%

Hospital, in-patient2 6 816 847 24,4%

Hospital, out-patient1 4 003 498 14,3%

Drugs total 5 825 724 20,9%

of which physician 1 727 215 6,2%

of which pharmacy 3 299 410 11,8%

of which hospital, out-patient 800 99 2,9%

Nursing home 1 838 228 6,6%

Home nursing service 671 83 2,4%

Physiotherapy 698 87 2,5%

Laboratory 846 105 3,0%

Medical goods and appliances 439 55 1,6%

Other 549 68 2,0%

Total gross benefits3 27 926 3 471 100,0%of which cost sharing 3 895 484 13,9%

1 no drugs. | 2 incl. drugs. | 3 incl. cost sharing (as far as statistically recorded).

Physiotherapy

Physician

Pharmacy

Hospital, out-patient

Physician, out-patientLaboratory

Hospital, out-patient

Home nursing service

Nursing home

Hospital, in-patient

Medical goods, appliancesOther

Drugs