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...

Innovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a...

Background Out-of-pocket payment remains one of the ways to finance health care in Ethiopia accounting 31%. These out-of-pocket health expense leads citizens' face catastrophic and impoverishing expenditure. The most recent survey-based study of catastrophic and impoverishing health expenditure...

Background Universal Health Coverage (UHC) is a central component of the Sustainable Development Goals, and integrated healthcare is recognized as a key pathway to achieving UHC. China's healthcare reform, aimed at real- izing the "Healthy China 2035" goal, faces challenges in ensuring the...

The Colombian Ministry of Health's decision to increase the health insurance premium (Capitation Payment Unit) by 5.36% for 2025, close to the inflation rate, has sparked controversy. This adjustment disregards factors that contribute to rising healthcare costs, leading to concerns over the...

This report explores the potential of maturing technologies to address specific health financing challenges in East and Southern Africa. To the extent possible, it draws on examples from countries in the region and shows how some technologies have been used in other sectors that could inform...

The Health Facilities Enhancement Program (HFEP) is a capital investment grant administered by the Department of Health (DOH), designed to help local government units (LGUs) augment their health infrastructure, such as primary healthcare facilities, hospitals, and equipment. Over the past...

The Eastern Tropical Pacific Marine Conservation Corridor (CMAR) spans 500,000 square kilometers and was established in 2004 by Ecuador, Costa Rica, Colombia, and Panama to promote the conservation and sustainable use of coastal and marine resources. The corridor includes four UNESCO World...

In this paper, we utilize the 2019/20 Uganda National Household Survey data to answer three related questions: (i) To what extent did out-of-pocket payments (OOPs) for health care services exceed the threshold for household financial catastrophe amidst COVID-19? (ii) What is the impoverishing...

Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed...

Green finance influences both health expenditures and environmental quality. Focussing on SDGs 3, 7, and 8, this study investigates the nexus between ecological footprint, green finance, health expenditures, renewable energy consumption, and economic growth using data from 2000 Q1-2020 Q4....

The analysis of household health financing vulnerability and its impact on health service utilization during the COVID-19 pandemic remains inadequately explored in Kenya. This study was designed to examine the impact of health financing vulnerability on health services utilization during the...

This study analyses the conditions under which co-opetition improves the supply of healthcare services in Benin. Using non-centralised administrative data from a sample of public and private health centres, we apply network theory and negative binomial regression to assess the extent to which...

In the official models for projections and policy analysis used by the Treasury and the Social Security and Medicare Trustees, many key variables are assumed as a continuation of past trends. Even the Congressional Budget Office (CBO), with more sophisticated models, makes certain simplifying...

The EU is challenged by a persistent leadership gap in the global health innovation landscape, with the US leading in corporate health innovation and venture capital (VC) funding. The EU health innovation landscape is more concentrated in older "incumbent leading firms," while the US has a more...

Accelerated progress towards and achievement of universal health coverage (UHC) has become a central goal of the Government of Pakistan's (GoP) policy agenda in health in recent years. Both at the center and in the provinces, Pakistan's domestic governments have now consistently reiterated,...

In the 2000s, the Government of the People's Republic of China extended basic health insurance to most of the population. In the 2010s, it introduced a catastrophic medical insurance (CMI) program to further improve urban and rural residents' protection against financial shocks due to inpatient...

In this report, we characterize the government health expenditures, examine the fragmented and overlapping nature of different financing streams, and propose a framework to address these challenges. In the past decade, the Philippines has experienced unprecedented growth in government health...

In the Philippines, household out-of-pocket or direct payment made by patients, has persistently accounted for nearly half of the country's health spending, which suggests financial burden experienced by Filipinos in accessing care. Since 2013, PhilHealth has paid accredited public and private...

Die Struktur der Notfallversorgung in Deutschland muss grundlegend verbessert werden, darüber besteht weitgehend Einigkeit. Seit spätestens 2018 und dem Gutachten des SVR Gesundheit wird intensiv ein in den Grundzügen unveränderter Reformvorschlag diskutiert. Über das Stadium eines...

Health status can alter individuals' social preferences, and specifically individuals' preferences regarding fairness in the access to and financing of health care. We draw on a dataset of 73,452 individuals across 22 countries and a novel instrumental variable strategy that exploits variation...

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...

Health status can alter individuals’ social preferences, and specifically individuals' preferences regarding fairness in the access to and financing of health care. If individuals follow a healthy self-interested rationale, health improvements are expected to weaken individuals' support for...

Until very recently, Britain's National Health Service used to be beyond argument. The reverence for the health service often precluded anything resembling a rational discussion around it: the social taboos were simply too strong. Yet over the past two years or so, this has begun to change. We...

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...

Upcoding in Medicare has been a topic of interest to economists and policy makers for nearly 40 years. While upcoding is generally understood as "billing for services at higher level of complexity than the service actually pro- vided or documented," it has a wide range of definitions within the...

Background Morocco is engaged in a health system reform aimed at generalizing health insurance across the whole population by 2025. This study aims to build a national database of costs at all levels of public hospitals in Morocco and craft this database as a resource for further use in a...

Background Due to population aging, healthcare expenditure is projected to increase substantially in developed countries like Spain. However, prior research indicates that health status, not merely age, is a key driver of healthcare costs. This study analyzed data from over 1.25 million...

Background Indonesia has the world's second-highest tuberculosis (TB) burden, with 969,000 annual TB infec- tions. In 2017, Indonesia faced significant challenges in TB care, with 18% of cases missed, 29% of diagnosed cases unreported, and 55.4% of positive results not notified. The government...

Background Type 1 diabetes (T1D) management exerts a considerable financial burden on patients, caregivers, and developing nations at large. In Ghana, a key governments effort to attenuate the financial burden of T1D on patients was to fashion safety-net mechanisms through financial risk...

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 health of migrants and refugees is a key component in achieving Universal Health Coverage (UHC). This paper aims to assess the scale of financing mobilized by the Moroccan government for migrants and refugees health, and addressing health issues related to these populations within...

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...

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...

The Scottish Government's Budget for 2024-25 takes place at a time of particular uncertainty about the future funding environment. UK government spending plans both for the coming year and for later years seem likely to be topped up, but when and by how much is unclear. The current UK government...

This chapter of our second annual Budget Report looks at Scottish tax policy and revenue, the overall amount of funding available for Scottish public services, and planned spending on different individual services in the coming financial year, 2024-25. In several important respects, the Scottish...

This chapter of our second annual Budget Report looks beyond 2024-25 to the medium-term outlook for the Scottish Government's funding, and the implications of the funding picture for the choices and trade-offs faced when allocating funding between areas of the budget. The Scottish Government had...

We examine the link between public spending in health and health outcomes by leveraging differential exposure to a health spending reform prompted by Brazil's 29th Constitutional Amendment, which mandated municipalities to spend at least 15% of their budget on health. We map dynamic effects on...