the leading global network of the health insurance industry tom sackville
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The leading global network of the health insurance industry
Tom Sackville
NHS (England)
STAFF 1.4m
POPULATION 55.4m
MINISTER
© Assembléon 4
© Assembléon 5
NHS (England)
STAFF 1.4m
POPULATION 55.4m
PERMANENTSECRETARY
UK PMI Market 2000 -2010
Source Laing & Buisson 2011
1 2 3 4 5 6 7 8 9 10 116400
6600
6800
7000
7200
7400
7600
7800
2000 - 2010
lives covered
Physicians (Per 10,000 Population) 2010
42 4139
37 36 35 35
30 2927 27
0
5
10
15
20
25
30
35
40
45
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
8.9
7.8
6.96.4 6.4
5.9 5.9 5.7
4.34.0 4.0
0
2
4
6
8
10
DEN GER FR AUS OECDMedian
NETH UK CAN* NZ* SWIZ* US*
Source: OECD Health Data 2010 (Oct. 2010).
THE COMMONWEALTH
FUND
Number of Acute Care Hospitals Beds per 1,000 Population
5.7
3.6 3.53.1 3 2.9 2.7 2.7 2.6
0
1
2
3
4
5
6
Germ
any
Franc
e
Switzer
land
Italy
Nether
lands
Denmar
k
Canada
USA UK
Source : “International Profiles of Health Care Systems”, The Commonwealth Fund June 2010To 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)
Japa
n ¹
Korea
Rus
sian
Fed
.Fin
land
Ger
man
ySw
itzer
land
New
Zea
land
Chi
naBel
gium
Can
ada
Uni
ted
Kingd
om
Slova
k R
epub
lic
Luxe
mbo
urg
Cze
ch R
epub
licEst
onia
OEC
DG
reec
eSpa
inAus
tria
Italy
Slove
nia
Polan
dIre
land
Austra
liaPor
tuga
lIc
elan
d
Net
herla
nds
Chi
leSw
eden
Franc
e
South
Afri
caH
unga
ry
Uni
ted
State
sD
enm
ark
Nor
way
Isra
elTur
key
Indo
nesi
aM
exic
o
0
5
10
15
20
2518
.5
14.6
13.6
12.5
9.7
9.7
8.7
8.6
7.8
7.7
7.7
7.5
7.3
7.2
7.2
7.2
7.0
6.9
6.7
6.7
6.4
6.2
6.1
6.0
5.9
5.8
5.8
5.7
5.7
5.6
5.6
5.1
4.9
4.8
4.6
4.5
4.3
4.3
3.9
2000 2009Days
Source: OECD Health Data 2011; WHO-Europe for the Russian Federation and national sources for other non-OECD countries.
13Sources: American Hospital Association, “AHA Trendwatch Chartbook 2008,” 2008.
Hospital Revenue and Expenses per Admission(American Hospitals)
FOR ILLUSTRATIVE PURPOSES ONLY
International Federation of Health Plans
2012 Comparative Price ReportMedical and Hospital Fees by Country
www.ifhp.com
15
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Scanning and Imaging: MRI
$522
$118$230
$319 $335 $363$502 $554
$928$1,072 $1,121
$2,871
Argentina Spain Netherlands United Kingdom
France Chile New Zealand Switzerland South Africa United States
16
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Cost Per Hospital Day
$1,472 $1,514
$429 $476 $665 $731 $853 $964 $979
$4,287
$12,537
Argentina Spain South Africa Netherlands France Chile New Zealand Australia United States
17
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Total Hospital and Physician Cost: Appendectomy
$5,392 $5,467$8,156
$953$2,245
$3,381 $3,408$4,221 $4,498 $4,463 $4,782
$13,851
$29,426
Argentina Spain South Africa United Kingdom
Chile Netherlands France Switzerland New Zealand
Australia United States
18
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Total Hospital and Physician Cost: Hip Replacement
$27,810$25,061
$3,365$7,731 $9,574 $10,927 $11,187 $11,889 $13,409 $14,390 $15,403
$40,364
$87,987
Argentina Spain Switzerland France Netherlands United Kingdom
Chile New Zealand
South Africa Australia United States
19
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Physician Fees: Cataract Surgery
$651
$157
$286$332
$420 $426
$699
$1,048
$1,311
$922
$1,839
Argentina Netherlands South Africa Spain France Canada Chile Australia United States
20
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Drugs: Lipitor
$100
$6$11 $13
$39$43
$48
$60
$124
$145
New Zealand South Africa Spain Argentina United Kingdom France Chile United States
Lipitor is commonly prescribed for high cholesterol.
21
USA 25th Percentile Average Price USA 95th Percentile($ USD)
2012 Drugs: Cymbalta
$149
$47 $48$57
$70 $77 $84
$113
$176
$317
France United Kingdom South Africa Spain Switzerland Argentina Canada United States
Cymbalta is commonly prescribed for depression, anxiety, and fibromyalgia.
22
2010 Health Spending as Percent of GDP
Source: OECD Health Spending 2012. Data represents 2010 or most recent year.
8.0%
9.1%9.6% 9.6%
10.1%
11.4% 11.4% 11.6%
17.6%
9.5%
Chile Australia Spain United Kingdom
New Zealand Canada Switzerland France United States
OECD Average
High health-care costs: It’s all in the pricingBy 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.
By Ezra Klein
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60
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Dec-76 Dec-78 Dec-80 Dec-82 Dec-84 Dec-86 Dec-88 Dec-90 Dec-92 Dec-94 Dec-96 Dec-98Dec-00 Dec-02Dec-04 Dec-06Dec-08 Dec-10 Dec-12
"Basic" Premiums qualify for Tax RebateMeans testing in Public HospitalsMedical Rebates for Insured Only
MEDICARE introduced (February 1984)
Lifetime Health Cover introduced (July 2000)
Means Tested Rebate introduced(July 1997)Medicare Levy Surcharge Introduced
Percentageof Population Covered by Private Hospital InsuranceDecember 1976 to December 2011
45.7%
30% Rebate