Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It?


Friday, November 14, 2008

The pre-election debate put health care reform ideas front and center. Now policymakers have to deal with translating theory into action under challenging economic conditions. Why completely reinvent the wheel when there are existing universal coverage systems that may have components the U.S. can learn from? This briefing, cosponsored by The Commonwealth Fund, provided an in-depth look at the very different approaches of Switzerland, Germany and Holland to providing near-universal coverage to their citizens.

How is coverage provided in each system? How successful is each in achieving maximum coverage? What are the roles of private insurance and government in each? What mechanisms are in place, if any, to help each system manage in difficult economic times?

Addressing these and related questions were: Robert Leu of the University of Bern, Switzerland; Reinhard Busse of the Berlin University of Technology, Germany; and Diana Monissen of the Dutch Ministry of Health, Welfare and Sport. On hand for comment and for questions were Thomas Björn Zeltner, the Swiss secretary of state for health; Michael O’Grady of the National Opinion Research Center; and Mark McClellan of the Brookings Institution. Co-moderators were Lisa Swirsky of the Alliance and Robin Osborn of The Commonwealth Fund.

Speakers

 Robin Osborn, The Commonwealth Fund, Moderator
 Lisa Swirsky, Alliance for Health Reform, Moderator
 Reinhard Busse, Berlin University of Technology, Speaker
 Robert Leu, University of Bern, Switzerland, Speaker
 Diana Monissen, Dutch Ministry of Health, Welfare and Sport, Speaker
 Mark McClellan, Brookings Institution, Speaker
 Michael O'Grady, National Opinion Research Center, Speaker
 Thomas Zeltner, Swiss Federal Office of Public Health, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It? (Adobe Acrobat PDF), 11/14/2008
Event Summary: Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It? (Word Document), 11/14/2008
Full Webcast/Podcast: Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It?

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

Reinhard Busse Presentation (PowerPoint), 11/14/2008
Robert Leu Presentation (PowerPoint), 11/14/2008
Diana Monissen Presentation (PowerPoint), 11/14/2008

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Speaker Bios (Adobe Acrobat PDF), PDF, 11/14/2008
Sourcelist (Adobe Acrobat PDF), PDF, 11/14/2008
Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It? (Word Document), Microsoft Word, 11/14/2008

Offsite Materials (briefing documents saved on other websites)

The Grass Is Not Always Greener: A Look at National Health Care Systems Around the World , Cato Institute, 3/18/2008
ITL: Measuring The Health of Nations: Updating an Earlier Analysis, Commonwealth Fund, 2/1/2008
Internists Diagnose Health Care System Ills, Prescribe Remedies to Achieve Universal Coverage , American College of Physicians, 12/4/2007
Health Care Systems in Ten Developed Countries, Harris Interactive, 7/2/2008
WHO’s Fooling Who? The World Health Organization’s Problematic Ranking of Health Care Systems (Adobe Acrobat PDF),Cato Institute, 2/28/2008
Health Plans May Be ‘Universal’, But They’re Not Global, Congressional Quarterly, 9/11/2008
Why Americans Won’t tolerate Overseas Models, Politics Magazine, 10/8/2008
What We Can Learn From the Europeans, Politics Magazine, 10/8/2008
Slowing the Growth of Health Care Costs- Learning from International Experience, New England Journal of Medicine, 10/23/2008
After-Hours Doctor Calls Save Holland Money, NPR, 7/17/2008
Health Clinic Treats Germany’s Few Uninsured, NPR, 7/4/2008
In Switzerland, A Health Care Model For America?, NPR, 7/31/2008
In The U.S. And Holland, Diabetes Looks Different, NPR, 7/16/2008
Keeping German Doctors On A Budget Lowers Costs, NPR, 7/2/2008
Most Patients Happy With German Health Care, NPR, 7/3/2008
Netherlands’ Health Care Reflects National Values, NPR, 7/17/2008
Universal Mandatory Health Insurance In The Netherlands: A Model For The United States?, Health Affairs, 5/8/2008
Dutch Health Care Performance Report 2008, National Institute for Public Health and the Environment, 11/14/2008
Shepherding Major Health System Reforms: A Conversation With German Health Minister , Health Affairs, 4/8/2008
A Living Model Of Managed Competition: A Conversation With Dutch Health Minister Ab Klink, Health Affairs, 4/8/2008
Health Spending In OECD Countries: Obtaining Value Per Dollar, Health Affairs, 11/8/2008
Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2008 , Commonwealth Fund, 7/17/2008
In Chronic Condition: Experiences of Patients With Complex Health Care Needs, In Eight Countrie, Health Affairs, 11/13/2008

Photos









Dr. Reinhard Busse of the Berlin University of Technology describes the German health care system, with its mix of mandated and voluntary insurance. (10 min.) From the Nov. 14 briefing cosponsored by The Commonwealth Fund. Video courtesy of Kaisernetwork.org.

 


Uwe Reinhardt Questions Bundled Payment Savings Prospects


Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"

FULL TRANSCRIPT

Read More 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 


Two Former Medicare Administrators Discuss How to Save the Program


A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at http://www.youtube.com/watch?v=GQjsfam9-w0

Read More 


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Marketplace Enrollment Helpers Toolkit


Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act


The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Replacing the SGR


A new Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

Read More 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap