price variations: the data shows on and quality ... · 1.excludes discharges of healthy babies born...
TRANSCRIPT
International Price Variations What the Data Shows
National Summit on Health Care Price Cost and Quality Transparency
December 4 2013
George C HalvorsonChairmanKaiser Permanente
Tom SackvilleChief ExecutiveInternational Federation of Health Plans
Our prices are the highest in the world for almost all
pieces of care
2
bull 1) Piecework payment incents volume ndash not quality
3
Six Perverse Consequences of Buying Care by the Piece
bull 2) Piecework payment cripples and penalizes process improvement
4
Six Perverse Consequences of Buying Care by the Piece
bull 3) Piecework payment encourages and enables fraud
5
Six Perverse Consequences of Buying Care by the Piece
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Our prices are the highest in the world for almost all
pieces of care
2
bull 1) Piecework payment incents volume ndash not quality
3
Six Perverse Consequences of Buying Care by the Piece
bull 2) Piecework payment cripples and penalizes process improvement
4
Six Perverse Consequences of Buying Care by the Piece
bull 3) Piecework payment encourages and enables fraud
5
Six Perverse Consequences of Buying Care by the Piece
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
bull 1) Piecework payment incents volume ndash not quality
3
Six Perverse Consequences of Buying Care by the Piece
bull 2) Piecework payment cripples and penalizes process improvement
4
Six Perverse Consequences of Buying Care by the Piece
bull 3) Piecework payment encourages and enables fraud
5
Six Perverse Consequences of Buying Care by the Piece
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
bull 2) Piecework payment cripples and penalizes process improvement
4
Six Perverse Consequences of Buying Care by the Piece
bull 3) Piecework payment encourages and enables fraud
5
Six Perverse Consequences of Buying Care by the Piece
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
bull 3) Piecework payment encourages and enables fraud
5
Six Perverse Consequences of Buying Care by the Piece
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
bull 4) Piecework payment rewards bad care outcomes
6
Six Perverse Consequences of Buying Care by the Piece
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
bull 5) Piecework payment rewards care screw‐ups
7
Six Perverse Consequences of Buying Care by the Piece
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
‐‐
and obviously ‐‐
bull6) Piecework payment enables price inflation
8
Six Perverse Consequences of Buying Care by the Piece
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Page 9
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Cost Book Chapter Titles
Ch 1
The Mess We Are In
Ch 2
The Optimal Care System Should Be the Goal of the Business
Model We Use To Buy Care
Ch 3
Prices Are Higher Here
Ch 4
Care Delivery Is a Business
Ch 5
Someone Needs To Be Accountable for Implementing the New
Business Model for Care or It Will Not Happen
Ch 6
Using Private Health Plans To Cover Everyone Will Not Work If We
Canrsquot Make Coverage Affordable
Ch 7
We Canrsquot Allow Government‐Funded Health Care To Cripple Our
Economy
Ch 8
We Need To Make Medicaid Better Smarter and More Affordable
As Well
Ch 9
Letrsquos Cut Costs By Improving Health
Page 10
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician CostsAngioplasty ($US)
Source 2011 Federation Report
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Physician FeesNormal Delivery ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Total Facility and Physician Costs Appendectomy ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Total Hospital and Physician Costs Coronary Artery Bypass ($US)
Source 2011 Federation Report Medicare and Medicaid estimate was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan
(AVERAGE FEE)
Medicare Medicaid Private Payers
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Drug Prices Nexium ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Drug PricesPlavix ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Scanning and Imaging FeesCT Scan Abdomen ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Total Hospital ChargesCost Per Hospital Day ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Hospital Charges Cost Per Hospital Stay ($US)
Source 2011 Federation Report
USA Commercial AverageUSA Commercial Low USA Commercial 95th Percentile
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Inpatient Utilization(American Hospitals)
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Hospital Revenue and Expenses per Admission(American Hospitals)
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
United States Utilization Drops and Price Increases
Sources American Hospital Association ldquoAHA Trendwatch Chartbook 2011rdquo 2011
Utilization
Length of Stay
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Utilization of Hospitals OECD Countries Hospital Discharges All Causes Per 1000 Population 2009
Page 25
117
158 166 177
237263
131
N OECD 2008 numbers for Canada United States New Zealand Australia1Excludes discharges of healthy babies born in hospital (between 3-6 of all discharges) 2Includes same-day separations
Source OECD Health Data 2011 WHO-Europe for Russian Federation and national sources for other non-OECD countries
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Average Length of Hospital Stay for Acute Myocardial Infarction 2009
Days
2008Source OECD Health Data 2011 (June 2011)
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Average Annual Number of Physician Visits per Capita 2009
2008 2007Source OECD Health Data 2011 (June 2011)
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Access to Doctor or Nurse Last Time Sick or Needed Care
Perc
ent
Same‐
or next‐day appointment
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Per
cent
Source 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Waited six days or more for a doctor visit
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Waited Less Than a Month to See Specialist
Percent
Base Saw or needed to see a specialist in the past two yearsSource 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Life Expectancy at Birth 2009Y
ears
of A
ge
2007 dataSource OECD Health Data 2011
Life Expectancy
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Page 32
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
We pay more than any country for each piece of health care
33
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
If we paid Canadian prices for each piece of care and if we delivered every piece of care we deliver today ndash every surgery prescription test and
hospital admission ndash and if we paid Canadian prices for each piece of care we would cut
insurance premiums by nearly
40 percent and we would spend roughly
12 percent of our GDP on care
instead of 18 percent 34
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Prices are the primary difference
between us
and them 35
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
We pay more than any country for each piece
of health care
Page 36
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Be well
37
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
The leading global network of the health insurance industry
Tom Sackville
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
39
International Federation of Health Plans
The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders It is now the leading global network in the industry with more than one hundred member companies from twenty-five countries
Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
40
List of Federation Member PlansArgentinaOmint Sa De ServiciosAustraliaAustralian Health Service AllianceAustralian Health Insurance Association LimitedAustralian Unity Health LimitedBUPA Australia LimitedGMHBA LimitedHBF Health Funds IncHospitals Contribution Fund of Australia LimitedHealth-PartnersMedibank PrivateNavy Health LimitedNIB Health Funds LimitedPolice HealthRT Health FundTeachersrsquo Federation Health LimitedTeachersrsquo Union HealthBelgiumMedicoverNationaal Verbond van Socialistiche MutualiteitenUnion Nationale des Mutualities Libres (MLOZ)CanadaAlberta Blue Cross PlanCanassurance Hospital Service AssociationGroup Medical ServicesManitoba Blue CrossMedavie Blue CrossPacific Blue CrossSaskatchewan Blue CrossChileBanmedicaChinaBUPA China Representative OfficeDenmarkDanmark SygeforsikringDanica Pension ForretningsudviklingForenede Gruppeliv ASDominican RepublicArs HumanoFranceMalakoff Mederic
GermanyAXA Krankenversicherung AGMunich HealthGreeceInteramerican Life Insurance CompanyHong KongAXA General Insurance Hong Kong LimitedBUPA (Asia) LimitedIndiaMAX BUPA Health Insurance LimitedIrelandVHI Healthcare LimitedItalyUnisaluteMexicoAXA Seguros SA de CVNetherlandsAchmea HealthNew ZealandHealth Funds Association of New ZealandSouthern Cross HealthcareUnion Medical Benefits Society LimitedNigeriaTotal Health Trust LimitedPolandSignal Iduna Polska TusaSaudi ArabiaBUPA Middle EastSouth AfricaBoard of Healthcare Funders of Southern AfricaBonitas Medical FundChartered Accountants (SA) Medical Aid FundDiscovery Health Medical SchemeLa-Health Medical SchemeMedihelpMedscheme HoldingsMetropolitan Health GroupPolmedTransmed
SpainCompantildeia de Seguros Adeslas SASanitas SA SwitzerlandHelsana Versicherungen AGSanitas KrankenversicherungThailandBUPA Health Insurance (Thailand) LimitedUnited KingdomAria Assistance GroupAXA PPP HealthcareBUPAInterGlobal Insurance CompanySimplyhealth GroupWestern Provident Association LimitedWestfield Contributory Health SchemeUSAAetna IncAmericas Health Insurance PlansBlue Cross amp Blue Shield AssociationEmblem Foundation Health PlanKaiser Foundation Health Plan IncRW2 EnterpriseThe Trizetto GroupTufts Health PlanUnitedHealth GroupZimbabweAssociation of the Healthcare Funders of ZimbabweCimas Medical Aid SocietyThe Medical Aid Society of Central AfricaPremier Service Medical Aid Society
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
Overall rank [4]
Country Overall life expectancy
Male life expectancy
Female life expectancy
1 Japan 83 79 861 Switzerland 83 80 851 San Marino 83 82 834 Italy 82 80 854 Singapore 82 80 854 Iceland 82 81 844 Andorra 82 79 854 Australia 82 80 844 Spain 82 79 854 Qatar 82 83 814 Israel 82 80 844 Monaco 82 79 854 France 82 78 854 Sweden 82 80 844 Canada 82 80 844 Luxembourg 82 79 8417 Cyprus 81 79 8417 Norway 81 79 8317 New Zealand 81 79 8317 Netherlands 81 79 8317 Austria 81 78 8417 Greece 81 78 8417 Ireland 81 79 8317 South Korea 81 77 8417 Finland 81 78 8417 Germany 81 78 8327 United Kingdom 80 79 8227 Belgium 80 78 8327 Malta 80 79 8227 Slovenia 80 77 8327 Portugal 80 77 8327 Kuwait 80 80 8033 Denmark 79 77 8233 Chile 79 76 8233 Costa Rica 79 77 8133 Bahrain 79 78 8033 United States 79 76 8138 Cuba 78 76 8038 Czech Republic 78 75 8138 B b d 78 75 80
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
NHS (England)
POPULATION 554m
MINISTER
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
copy Assembleacuteon 44
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
copy Assembleacuteon 45
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
46
USA 25th Percentile Average Price USA 95th Percentile($ USD)
NHS (England)
POPULATION 554m
PERMANENT SECRETARY
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
NHS doctors and nurses spend up to 10 hours a week on bureaucracy ndasha third of which is unneccesary a Government review has found
Photo ALAMY
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
UK PMI Market 2000 -2010
Source Laing amp Buisson 2011
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
hellip
IFHP-EDP Michael Willer 2609201350
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-
The leading global network of the health insurance industry
- International Price Variations What the Data ShowsNational Summit on Health Care Price Cost and Quality Transparency December 4 2013
- Slide Number 2
- Slide Number 3
- Slide Number 4
- Slide Number 5
- Slide Number 6
- Slide Number 7
- Slide Number 8
- Slide Number 9
- Cost Book Chapter Titles
- Total Facility and Physician CostsAppendectomy ($US)
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Total Facility and Physician CostsAppendectomy ($US)
- Total Hospital and Physician CostsCoronary Artery Bypass ($US)
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Hospital ChargesCost Per Hospital Stay ($US)
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Utilization of Hospitals OECD CountriesHospital Discharges All Causes Per 1000 Population 2009
- Average Length of Hospital Stay for Acute Myocardial Infarction 2009
- Average Annual Number of Physician Visits per Capita 2009
- Access to Doctor or Nurse Last Time Sick or Needed Care
- Waited six days or more for a doctor visit
- Waited Less Than a Month to See Specialist
- Life Expectancy at Birth 2009
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The leading global network of the health insurance industry
- International Federation of Health Plans
- List of Federation Member Plans
- Slide Number 41
- Slide Number 42
- NHS (England)
- Slide Number 44
- Slide Number 45
- NHS (England)
- Slide Number 47
- UK PMI Market 2000 -2010
- Slide Number 49
- hellip
- The leading global network of the health insurance industry
-