This paper presents a dynamic general equilibrium model designed to examine the macroeconomic effects and welfare implications of alternative reforms to the US health insurance system. Specifically, it scrutinizes the extent to which health care reform can mitigate inefficiencies stemming from...

Healthcare access and service delivery quality have been a persistent challenge in Lesotho. The COVID-19 pandemic has added new challenges and opportunities for change. Among those changes is the need to include digital health solutions and think about how new digital health interventions can...

This report focuses on Japan's experiences to showcase how the country incrementally strengthened the resilience of its health system by enhancing its capacity to prepare for, respond to, and recover from crises, drawing valuable lessons from its experience of major earthquakes, floods, and...

Background China started a pilot public hospital reform in 2012 to improve governance and efficiency in healthcare services delivery among county-level hospitals. This study aims to investigate the impact of the pilot reform on hospital efficiency and productivity by using a unique dataset of...

Background The diagnosis-intervention packet (DIP) payment reform, utilizing big data for patient classification and payment standardization, was initially developed and piloted in China. Guangzhou, the pilot mega-city, rolled out DIP payment reform in 2018 to regulate medical expenditures. We...

This study examines the health impacts of a large-scale internal migration reform in China. Using nationally representative data from the China Labor-Force Dynamics Survey (2012-2018) and a unique dataset on city-level policy intensity and adoption timing, we employ a triple-difference approach...

Die Sozialabgaben in Deutschland haben mit 42 % die einst als unüberschreitbar geltende "Haltelinie" von 40 % bereits deutlich überschritten. Besonders dramatisch entwickeln sich die Zusatzbeiträge der gesetzlichen Krankenversicherung (GKV): von 1,7 % im Jahr 2024 auf aktuell 2,9 % im zweiten...

This country report provides a description of the emergence of a health care system under public responsibility in Mexico. The inception of the health care system refers to the first legislation stipulating entitlements to medical care. The report also includes a brief description of major...

This country report provides a description of the emergence of a health care system under public responsibility in Bolivia. The inception of the health care system refers to the first legislation stipulating entitlements to medical care. The report also includes a brief description of major...

Objective The analysis of health expenditure and its structure takes on a critical significance in national health policy research, and the public welfare of national health undertakings can be manifested by the government's investment in health. In this study, the aim was to analyze total...

Objective The integration of the health insurance fund pool may threaten the sustainability of the fund by increasing its expenditures through the exacerbation of the moral hazard of participations. The purpose of this paper is to assess and predict the impact of the single pool reform of...

Background The Statutory Health Insurance scheme is one of two main schemes of health care system financing in Europe. This scheme mainly relies on wage-based contributions from employers and employees and is thus prone to business cycle fluctuations. This turned out to be a problem especially...

In this paper, we examine trends in provider fees charged, government expenditure on private out-of-hospital medical services, and out of pocket costs following policy changes intended to reduce government expenditure. We examine the experience of a high-need patient group: people diagnosed with...

Universal health coverage is a widely shared goal across lower-income countries. We conducted a large-scale, 4-year trial that randomized premiums and subsidies for India's first national, public hospital insurance program, RSBY. We find roughly 60% uptake even when consumers were charged...

Das deutsche Gesundheitssystem bietet im internationalen Vergleich eine umfassende Versorgung, jedoch zu hohen Kosten und mit Qualitätsdefiziten. Im internationalen Vergleich mit OECD-Ländern liegt Deutschland mit knapp zwölf Prozent des BIPs bei den zweithöchsten relativen Ausgaben für...

Universal health coverage is a widely shared goal across lower-income countries. We conducted a large-scale, 4-year trial that randomized premiums and subsidies for India's first national, public hospital insurance program, RSBY. We find roughly 60% uptake even when consumers were charged...

Universal health coverage is a widely shared goal across lower-income countries. We conducted a large-scale, 4-year trial that randomized premiums and subsidies for India's first national, public hospital insurance program, RSBY. We find roughly 60% uptake even when consumers were charged...

We quantify the impact of federal subsidies for graduate medical education on primary care physician (PCP) supply by examining the impact of Section 5503 of the Affordable Care Act, which increased the number of residents that teaching hospitals in rural and high-need areas could receive...

This country report provides a description of the emergence of a health care system under public responsibility in Rwanda. The inception of the health care system refers to the first legislation stipulating entitlements to medical care. The report also includes a brief description of major...

The German Federal Government has initiated key projects and reforms for the future development of healthcare in Germany. These include political initiatives for deregulation, digitisation, and large-scale structural projects. However, rather than directly contributing to the relief of the...

The German healthcare system faces urgent challenges, with Minister Karl Lauterbach proposing two major reforms: restructuring hospital financing and overhauling emergency services. While past efforts to reform emergency care have failed, the current crisis - exacerbated by staff shortages and...

This report reviews Jordan's public health expenditure and develops options to enhance spending efficiency that support the government's health and fiscal consolidation efforts. The particular focus of the mission was to provide support on: (1) overall health spending analysis, (2) support...

Universal health coverage is a widely shared goal across lower-income countries. We conducted a large-scale, 4-year trial that randomized premiums and subsidies for India's first national, public hospital insurance program, called RSBY. We find substantial demand (~ 60% uptake) even when...

Objective We aim in this study to investigate the association between access to health care services and various components of universal health coverage in Morocco, controlling for socioeconomic, demographic, and cultural factors. Data and methods The study employed a logistic regression method...

Objectives We aim to analyse the effects of government subsidies on residents' health and healthcare expenditure from the perspectives of supply and demand. Data and methods According to the regional division adopted in the data query system of the National Bureau of Statistics, this study...

We estimate the effects of the Comprehensive Medical Reform (CMR), a large-scale and comprehensive health care system reform in China, on medical burden and health status. Leveraging a time-varying difference-in-differences methodology and utilizing microdata from the Chinese Family Panel Study...

Background The mismatch of medical resources is a significant issue in global healthcare, undermining both service accessibility and system efficiency. In China, despite the implementation of the "Healthy China" strategy, persistent mismatches remain due to factors such as industrialization,...

The Polish health related patenting increased rapidly in the last decade making Poland the top CEE economy. Still, most of the filings remain only national, making Poland just a small share of the EU total and relatively less specialized than other EU countries. A limited number of higher...

The Canadian Institute for Health Information (CIHI) estimates total healthcare spending in Canada was $308 billion in 2021, up 15.3 percent ($40.8 billion) since 2019, swollen by $22.8 billion targeted at COVID-19. Total spending rose from 11.6 to 12.7 percent of GDP.Depending on the...

Strategic purchasing of health services has been identified as one of the critical components for countries to progress towards achieving universal health coverage (UHC). Due to decentralized governance, there are multiple purchasers in Nigeria, which has led to fragmentation, lack of...