[EQ] The Economics of Public Health Care Reform in Advanced and Emerging Economies

The Economics of Public Health Care Reform in Advanced and Emerging Economies

Edited by Benedict Clements, David Coady, and Sanjeev Gupta

International Monetary Fund IMF -  ISBN: 978-1-61635-244-8 - April 2012

PDF [35p.] of an excerpt online at: http://bit.ly/Mu6anq

“….The projected increases in public health spending will take place at a time when most countries need to undertake large fiscal adjustments to help bring public debt ratios down to more prudent levels.

In this light, public health care spending is indeed an important macro-fiscal issue. Moderating the growth of age-related spending, including on health, will have to be a major element of the fiscal consolidation strategy in the advanced economies over the coming years.

For many emerging economies, the outlook for health spending is better, and immediate pressures are expected to be more benign. But it will by no means be easy for emerging economies to expand access to and improve the quality of health care services in light of the limited fiscal space to increase public health spending.

Despite the fiscal importance of health care reform, there has been relatively little systematic work on the macro-fiscal implications of reforms in advanced economies and emerging markets. Recent work by the Fiscal Affairs Department has tried to fill that void, both by projecting future health care spending if current policies were to be maintained and by estimating the potential fiscal impact of various reform options to contain health spending growth.

This book draws on a recent study on the macro-fiscal implications of health care reforms presented to the IMF Executive Board in January 2011 and on papers prepared by outside experts for conferences at the IMF Regional Offices for Europe and Asia and the Pacific in June 2011 and October 2011, respectively.

An important objective of the IMF’s analytical work in this area—and of our continued dialogue with health experts—is to improve our understanding of how feasible it would be to slow down the projected growth of health spending. This, in turn, has an important bearing on the composition of fiscal consolidation strategies going forward, since insufficient scope for containing health spending increases would shift…”

Content

PART I TRENDS AND OUTLOOK FOR PUBLIC HEALTH SPENDING

1 The Challenge of Health Care Reform in Advanced and Emerging Economies

2 Public Health Care Spending: Past Trends

3 New Projections of Public Health Spending, 2010–50

PART II THE ROLE OF THE PRIVATE SECTOR IN HEALTH CARE FINANCING AND DELIVERY

4 The Future of Public and Private Health Care Insurance in Asia

5 Perspective on the Appropriate Role of the Private Sector in Meeting Health Care Needs

PART III CROSS-COUNTRY STUDIES

6 Containing Public Health Spending: Lessons from Experiences of Advanced Economies

7 Health Reform Lessons from Experiences of Emerging Economies

8 Health Financing Systems in East Asia and the Pacific: Early Successes and Current Challenges

9 Measuring the Health Effects of Health Care Reform

PART IV COUNTRY CASE STUDIES: ADVANCED ECONOMIES

10 Public Health Expenditure Reforms in Canada, Finland, Italy, the Netherlands, Sweden, the United Kingdom, and the United States

11 Challenges in Reforming the Japanese Health Care System

12 Coverage Expansion and Cost Containment in the Republic of Korea

13 Containing Public Health Spending through Market-Based Health Reform in Germany

14 Taiwan Province of China’s Experience with Universal Health Care Coverage

PART V COUNTRY CASE STUDIES: EMERGING ECONOMIES

15 Health Care Financing Reform in India’s Decentralized Health Care System

16 Evidence-Based Health Financing Reform in Thailand

17 The Challenge of Health Care Reform in Estonia, Hungary, China, Chile, and Mexico

 

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