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Private Financing and High-level Functioning: Some International Approaches to Health Reform


Friday, April 11, 2008

While the United States delivers some of the best medical care in the world, there are major inefficiencies in our system. We have high rates of medical errors, millions without health insurance coverage, and lower utilization of advanced health information technology than most western European nations. Our costs are the highest anywhere, by any measure.

Despite the fact that our federal and state governments pay a large portion of our health care bill, most Americans tend to think of our health care system as predominantly private. We are not, however, the only private health care system. Countries such as Germany and the Netherlands manage to provide universal coverage, while private providers and insurers thrive.

What can we learn about coverage patterns and cost in other systems that might help inform our choices? What traits in other countries’ delivery systems might be instructive? Are lessons from abroad useful to our efforts to improve efficiency and improve the quality of health care in the United States? What are the respective roles of government and the private market in other systems?

This briefing, cosponsored by The Commonwealth Fund, addressed these and related questions.  

Speakers

 Reinhard Busse, Berlin University of Technology, Speaker
 Stuart Butler, The Heritage Foundation, Speaker
 Patricia Danzon, The Wharton School of the University of Pennsylvania, Speaker
 Robin Osborn, The Commonwealth Fund, Speaker
 Wynand P.M.M. van de Ven, Erasmus University Rotterdam, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Private Financing and High-level Functioning: Some International Approaches to Health Reform (Adobe Acrobat PDF), 4/11/2008
Event Summary: Private Financing and High-level Functioning: Some International Approaches to Health Reform (Word Document), 4/11/2008
Full Webcast/Podcast: Private Financing and High-level Functioning: Some International Approaches to Health Reform
The transcript, full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Van de Ven Presentation (PowerPoint), 4/11/2008
Busse Presentation (PowerPoint), 4/11/2008
Osborn Presentation (PowerPoint), 4/11/2008

Source Materials

Adults' Health Care Experiences in Seven Countries, 2007 (Adobe Acrobat PDF), Health Affairs, 10/31/2007
In the Literature: On the Front Lines of Primary Care (Adobe Acrobat PDF), The Commonwealth Fund, 10/2/2006
Profiles of German and Dutch Health Care Systems (Adobe Acrobat PDF), The Commonwealth Fund, 4/11/2008
Chartpack: Multinational Comparisons of Health Systems Data, 2007 (PowerPoint), The Commonwealth Fund, 11/1/2007
In Holland, Some See Model for U.S. Health-Care System (Adobe Acrobat PDF), Wall Street Journal, 9/6/2007
Health Reform - One Year After Implementation (Adobe Acrobat PDF), Health Policy Monitor, 5/1/2007
A Conversation With Dutch Health Minister Ab Klink (Adobe Acrobat PDF), Health Affairs, 4/8/2008
Variability in Health Treatment Costs Amongst Nine EU Countries (Adobe Acrobat PDF), Health Economics, 1/8/2008
Health Care Reform in Germany - Not the Big Bang (Adobe Acrobat PDF), Health Policy Monitor, 11/1/2006
Care Coordination Gaining Momentum in Germany (Adobe Acrobat PDF), Health Policy Monitor, 7/1/2007
A Conversation With German Health Minister Ulla Schmidt (Adobe Acrobat PDF), Health Affairs, 4/8/2008
International Prices and Availability of Pharmaceuticals in 2005 (Adobe Acrobat PDF), Health Affairs, 2/1/2008
The Grass is Not Always Greener: A Look at National Health Care Systems Around the World (Adobe Acrobat PDF), Cato Institute, 3/28/2008
Achieving a High-Performance Health Care System: What the U.S. Can Learn From Other Countries (Adobe Acrobat PDF), American College of Physicians, 3/1/2008
Cash and Counseling in an International Context (Adobe Acrobat PDF), Health Services Research, 2/1/2007
Health Spending in OECD Countries in 2004: An Update (Adobe Acrobat PDF), Health Affairs, 10/1/2007
In the Literature: Measuring the Health of Nations (Adobe Acrobat PDF), The Commonwealth Fund, 2/1/2008
In Brief: Comparing Long-Term Care in Germany and the United States (Adobe Acrobat PDF), AARP, 10/1/2007
A Comparative Analysis of Avoidable Mortality in Three Nations and Their World Cities (Adobe Acrobat PDF), European Journal of Public Health, 3/1/2008
Consumer-Driven Health Care: Lessons From Switzerland (Adobe Acrobat PDF), JAMA, 9/8/2004
The Swiss Health System: Regulated Competition Without Managed Care (Adobe Acrobat PDF), JAMA, 9/8/2004
Private Financing and High-level Functioning: Some International Approaches to Health Reform (Word Document), Word Document, 4/11/2008
Sourcelist (Word Document), Microsoft Word, 4/11/2008

Offsite Materials (briefing documents saved on other websites)

Going Dutch — Managed-Competition Health Insurance in the Netherlands, New England Journal of Medicine, 12/13/2007
Dutch Doctors and Their Patients — Effects of Health Care Reform in the Netherlands, New England Journal of Medicine, 12/13/2007

Photos

Robin Osborn of The Commonwealth Fund, speaker at the April 11 briefing cosponsored by the Fund.

Patricia Danzon of the University of Pennsylvania, speaker at the April 11 briefing cosponsored by The Commonwealth Fund.

Reinhard Busse of the Berlin University of Technology, speaker at the April 11 briefing cosponsored by The Commonwealth Fund.

Stuart Butler of the Heritage Foundation, speaker at the April 11 briefing cosponsored by The Commonwealth Fund.

Wynand P.M.M. van de Ven of the Erasmus University Rotterdam, speaker at the April 11 briefing cosponsored by The Commonwealth Fund.

 

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