Research Conducted by M. Blumel and Co-Researchers Has Updated Our Knowledge about Health Insurance (Statutory health insurance in Germany: a health…

Managed Care Weekly Digest

Research Conducted by M. Blumel and Co-Researchers Has Updated Our Knowledge about Health Insurance (Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition)

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- Data detailed on Health Insurance have been presented. According to news reporting originating from Brussels, Belgium, by NewsRx correspondents, research stated, "Bismarck's Health Insurance Act of 1883 established the first social health insurance system in the world. The German statutory health insurance system was built on the defining principles of solidarity and self-governance, and these principles have remained at the core of its continuous development for 135 years."

Our news editors obtained a quote from the research, "A gradual expansion of population and benefits coverage has led to what is, in 2017, universal health coverage with a generous benefits package. Self-governance was initially applied mainly to the payers (the sickness funds) but was extended in 1913 to cover relations between sickness funds and doctors, which in turn led to the right for insured individuals to freely choose their health-care providers. In 1993, the freedom to choose one's sickness fund was formally introduced, and reforms that encourage competition and a strengthened market orientation have gradually gained importance in the past 25 years; these reforms were designed and implemented to protect the principles of solidarity and self-governance. In 2004, self-governance was strengthened through the establishment of the Federal Joint Committee, a major payer-provider structure given the task of defining uniform rules for access to and distribution of health care, benefits coverage, coordination of care across sectors, quality, and efficiency. Under the oversight of the Federal Joint Committee, payer and provider associations have ensured good access to high-quality health care without substantial shortages or waiting times. Self-governance has, however, led to an oversupply of pharmaceutical products, an excess in the number of inpatient cases and hospital stays, and problems with delivering continuity of care across sectoral boundaries."

According to the news editors, the research concluded: "The German health insurance system is not as cost-effective as in some of Germany's neighbouring countries, which, given present expenditure levels, indicates a need to improve efficiency and value for patients."

For more information on this research see: Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition. Lancet, 2017;390(10097):882-897. Lancet can be contacted at: Elsevier Science Inc, 360 Park Ave South, New York, NY 10010-1710, USA. (Elsevier - www.elsevier.com; Lancet - www.journals.elsevier.com/lancet/)

The news editors report that additional information may be obtained by contacting M. Blumel, European Observ Hlth Syst & Policies, Brussels, Belgium. Additional authors for this research include R. Busse, F. Knieps and T. Barnighausen (see also Health Insurance).

Keywords for this news article include: Brussels, Belgium, Europe, Health Insurance.