Neben dem Pensions- und dem Gesundheitssystem ist der Pflegebereich das dritte Aufgabengebiet der Sozialpolitik, das stark von der demographischen Entwicklung geprägt ist. Schon derzeit sind die Budgets der Länder und Gemeinden durch die Mittel für die Pflege, vor allem für die in Alten- und...

Using administrative panel data of health insurants, we estimate the effects of low birth weight on health service utilization among children and young adults between birth and 21 years old. To account for time-invariant heterogeneity of mothers, we use sibling fixed- effects estimation. We find...

In the absence of a perfect risk adjustment scheme, reimbursing health insurers' costs can reduce risk selection in community-rated health insurance markets. In this paper, we develop a model in which insurers determine the cost efficiency of health care and have incentives for risk selection....

Vor dem Hintergrund der dynamischen Entwicklung des Bedarfs an Gesundheitsleistungen und der Zunahme älterer Bevölkerungsanteile birgt die Versorgung von Patienten mit Hirnleistungsstörungen im Alter eine wachsende medizinische, soziale und gesundheitspolitische Herausforderung. Diese Gruppe...

If health care expenditure for the elderly grows faster than for younger people, the expenditure profiles become "steeper" - we call that "steeping". Three instruments for measuring "steeping" are presented: (1) trend of the relation between per-capita-expenditure of the old and the young; (2)...

Vor dem Hintergrund des steigenden Kostendrucks und eines Rekorddefizits der gesetzlichen Pflegeversicherung von 400 Mio. – in 2002 setzt die Rürup-Kommission in ihren Reformplänen für die gesetzliche Pflegeversicherung unter anderem auf die Erprobung so genannter personengebundener...

This paper investigates the impact of population aging, driven by medical progress, upon agespecific expenditure on health care. In a model set up in discrete time, individuals at each age may catch a lethal disease which, upon receiving appropriate medical treatment, nevertheless involves a...

Rising costs in pharmaceutical expenditure have become a major concern for policy makers in Germany over the last years. Therefore the pharmaceutical market in Germany has been increasingly targeted by different kinds of regulations, focussing both on the supply and the demand side, using price,...

In all four countries health care expenditures grow while the revenue remains at the same level or even shrinks in many cases. Due to medical progress, ageing and many other factors the gap is widening over time. The pay-as-you-go approach is running against limits either with rising employer...