Global Convergence of Health Care Financing in OECD Countries: An Equilibrium Based Asset Pricing Approach

2014 ◽  
Author(s):  
William R. Pratt ◽  
Gokce Soydemir ◽  
Elena Bastida
Keyword(s):  
Health Care ◽  
Asset Pricing ◽  
Global Convergence ◽  
Health Care Financing ◽  
Oecd Countries

Can Multi-payer Financing Achieve Single-Payer Spending Levels?

2008 ◽  
Vol 10 (1) ◽  
Author(s):  
Joseph P Newhouse ◽  
Anna Sinaiko
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Oecd Countries ◽  
Necessary Condition ◽  
Financing System ◽  
Administrative Costs ◽  
Single Payer ◽  
The Us ◽  
High Level ◽  
Care Costs

Many believe the high level of United States health care costs compared with other countries is attributable to high administrative costs inherent in our pluralistic health care financing system. Instead of the well known statistics examining the percentage of GDP that various countries spend on health care, which show the US as a large outlier, we show the percentage of Gross State Product various states spend on health care. Even adjusting for age and income, there is considerable variation across the states in spending levels, with the lowest quintile of states spending approximately the same percentage as the higher spending OECD countries other than the US. This implies that the US' pluralistic financing system may not be an important cause of the large percentage of GDP that the US devotes to health care. Even in the low spending states, however, absolute amounts of spending are higher than in other OECD countries. Although a more centralized payment system may be a sufficient condition to spend at the percentages of GDP found in northern Europe, it is not a necessary condition.

Modernization, Globalization, Trends, and Convergence in Health Expenditure in Latin America and the Caribbean

2015 ◽  
Vol 1 (2) ◽  
pp. 321-346 ◽  
Author(s):  
Shiri Noy ◽  
Patricia A. McManus
Keyword(s):  
Health Care ◽  
Latin America ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Health Spending ◽  
Modernization Theory ◽  
The Public ◽  
National Differences ◽  
Care Systems ◽  
Public Private Mix

Are health care systems converging in developing nations? We use the case of health care financing in Latin America between 1995 and 2009 to assess the predictions of modernization theory, competing strands of globalization theory, and accounts of persistent cross-national differences. As predicted by modernization theory, we find convergence in overall health spending. The public share of health spending increased over this time period, with no convergence in the public-private mix. The findings indicate robust heterogeneity of national health care systems and suggest that globalization fosters human investment health policies rather than neoliberal, “race to the bottom” cutbacks in public health expenditures.

scholarly journals Determinants of prepaid systems of healthcare financing: a worldwide country-level perspective

2021 ◽  
Author(s):  
Andrea M. Leiter ◽  
Engelbert Theurl
Keyword(s):  
Health Care ◽  
Panel Data ◽  
Health Care Financing ◽  
Value Added ◽  
The Elderly ◽  
Dynamic Panel Data ◽  
Individual Characteristics ◽  
Minor Importance ◽  
Data Set ◽  
Country Level

AbstractIn this paper we examine determinants of prepaid modes of health care financing in a worldwide cross-country perspective. We use three different indicators to capture the role of prepaid modes in health care financing: (i) the share of total prepaid financing as percent of total current health expenditures, (ii) the share of voluntary prepaid financing as percent of total prepaid financing, and (iii) the share of compulsory health insurance as percent of total compulsory prepaid financing. In the econometric analysis, we refer to a panel data set comprising 154 countries and covering the time period 2000–2015. We apply a static as well as a dynamic panel data model. We find that the current structure of prepaid financing is significantly determined by its different forms in the past. The significant influence of GDP per capita, governmental revenues, the agricultural value added, development assistance for health, degree of urbanization and regulatory quality varies depending on the financing structure we look at. The share of the elderly and the education level are only of minor importance for explaining the variation in a country’s share of prepaid health care financing. The importance of the mentioned variables as determinants for prepaid health care financing also varies depending on the countries’ socio-economic development. From our analysis we conclude that more detailed information on indicators which reflect the distribution of individual characteristics (such as income, family size and structure and health risks) within a country’s population would be needed to gain deeper insight into the decisive determinants for prepaid health care financing.

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