Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary

This study, done at the request of the Hungarian government, presents evidence on cost-sharing in the health sector, and its application in Hungary. It presents results on the impact of cost-sharing on revenues in health facilities and insurance, f...

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Bibliographic Details
Main Author: World Bank
Format: Policy Note
Language:English
en_US
Published: Washington, DC 2013
Subjects:
HR
Online Access:http://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
http://hdl.handle.net/10986/12854
id okr-10986-12854
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ADMINISTRATIVE BURDEN
ADMINISTRATIVE COSTS
ADOLESCENTS
ADVERSE SELECTION
AFFORDABILITY
AMBULANCE
AMBULATORY CARE
AMBULATORY SURGERY
ANCILLARY SERVICES
BEDS
BREAST CANCER
BRIBES
CAPITATION
CAPITATION PAYMENT
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CHRONIC DISEASES
CLINICS
CONTRIBUTION TO COSTS
CORRUPTION
COST OF HEALTH CARE
COST SHARING
COST-SHARING
COST-SHARING ARRANGEMENTS
COST-SHARING POLICIES
DEDUCTIBLE
DEDUCTIBLES
DEMAND FOR HEALTH
DEMAND FOR SERVICES
DENTAL CARE
DETERMINATION OF ELIGIBILITY
DIAGNOSIS
DISABLED
DOCTORS
DRUG THERAPY
ELASTICITY OF DEMAND FOR HEALTH CARE
EMERGENCY CARE
ENTITLEMENT
EQUITY IN ACCESS
EXCHANGE RATE
EXCLUSIONS
FAMILIES
FEE-FOR-SERVICE
FINANCE OF HEALTH CARE
FINANCIAL BURDEN
FINANCIAL CONTRIBUTIONS
FINANCIAL INCENTIVES
FINANCIAL MANAGEMENT
FINANCIAL RISK
FINANCIAL SUPPORT
FINANCIAL SUSTAINABILITY
FLAT RATE
FREE CARE
GENERAL PRACTICE
HEALTH CARE
HEALTH CARE CENTERS
HEALTH CARE COSTS
HEALTH CARE FINANCING
HEALTH CARE REFORM
HEALTH CARE SECTOR
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CARE UTILIZATION
HEALTH CENTRES
HEALTH ECONOMICS
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FOR ALL
HEALTH INSURANCE
HEALTH INSURANCE FUND
HEALTH INSURANCE SYSTEM
HEALTH OUTCOMES
HEALTH PLANNING
HEALTH POLICY
HEALTH POLICY OBJECTIVES
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SERVICES RESEARCH
HEALTH SPENDING
HEALTH STATUS
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH ­ RESULTS
HEALTH-CARE
HEALTH-CARE SYSTEM
HEALTHCARE
HEALTHCARE PROVIDERS
HEALTHCARE SERVICES
HEALTHCARE SYSTEM
HOMELESS PEOPLE
HOSPITAL ADMISSIONS
HOSPITAL BEDS
HOSPITAL CARE
HOSPITAL COSTS
HOSPITAL EMERGENCY SERVICES
HOSPITAL INPATIENT
HOSPITAL SERVICES
HOSPITALIZATION
HOSPITALS
HR
HYGIENE
IMPACT OF COST
INCOME
INCOME CATEGORIES
INCOME GROUPS
INCOME HOUSEHOLDS
INDUCED DEMAND
INEQUALITIES
INEQUALITIES IN HEALTH CARE
INEQUALITY
INEQUITY IN HEALTH
INFANT CARE
INFORMAL PAYMENTS
INPATIENT ADMISSION
INPATIENT CARE
INPATIENT TREATMENT
INSURANCE
INSURANCE AGENCIES
INSURANCE AGENCY
INSURANCE COMPANIES
INSURANCE COVERAGE
INSURANCE PACKAGE
INSURANCE POLICY
INSURANCE RATES
INSURANCE SYSTEM
INSURERS
INTERNATIONAL COMPARISONS
LAWS
LOW INCOME
LOW-INCOME COUNTRIES
MEDICAID
MEDICAL CARE
MEDICAL SERVICES
MEDICATION
MEDICINES
MORAL HAZARD
MORBIDITY
MORTALITY
NATIONAL HEALTH
NURSING
OPERATIONAL COSTS
OUTPATIENT CARE
OUTPATIENT SERVICES
PATIENT
PATIENT COST
PATIENTS
PAYMENTS FOR HEALTH CARE
PHARMACEUTICAL COMPANIES
PHYSICIAN
PHYSICIANS
PHYSIOTHERAPY
POCKET PAYMENTS
POLICY RESEARCH
PREGNANCY
PREGNANT WOMEN
PRESCRIPTION DRUGS
PRESCRIPTIONS
PREVENTIVE CARE
PRICE ELASTICITIES
PRIMARY CARE
PRIVATE HEALTH INSURANCE
PRIVATE HOSPITALS
PRIVATE INSURANCE
PRIVATE SECTOR
PRIVATE SPENDING
PROVIDER PAYMENT
PROVISION OF CARE
PSYCHIATRIC CARE
PUBLIC ATTITUDES
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH CARE
PUBLIC HEALTH SERVICES
PUBLIC HOSPITAL
PUBLIC HOSPITAL SERVICES
PUBLIC HOSPITALS
PUBLIC INSURANCE
QUALITY OF CARE
REFORM OF HEALTH CARE
SAVINGS
SLIDING SCALE
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SURGERY
TREATMENTS
USER FEE
USER FEES
VICTIMS
VISITS
VULNERABLE GROUPS
WELFARE BENEFITS
WORKERS
WORKING CONDITIONS
spellingShingle ADMINISTRATIVE BURDEN
ADMINISTRATIVE COSTS
ADOLESCENTS
ADVERSE SELECTION
AFFORDABILITY
AMBULANCE
AMBULATORY CARE
AMBULATORY SURGERY
ANCILLARY SERVICES
BEDS
BREAST CANCER
BRIBES
CAPITATION
CAPITATION PAYMENT
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CHRONIC DISEASES
CLINICS
CONTRIBUTION TO COSTS
CORRUPTION
COST OF HEALTH CARE
COST SHARING
COST-SHARING
COST-SHARING ARRANGEMENTS
COST-SHARING POLICIES
DEDUCTIBLE
DEDUCTIBLES
DEMAND FOR HEALTH
DEMAND FOR SERVICES
DENTAL CARE
DETERMINATION OF ELIGIBILITY
DIAGNOSIS
DISABLED
DOCTORS
DRUG THERAPY
ELASTICITY OF DEMAND FOR HEALTH CARE
EMERGENCY CARE
ENTITLEMENT
EQUITY IN ACCESS
EXCHANGE RATE
EXCLUSIONS
FAMILIES
FEE-FOR-SERVICE
FINANCE OF HEALTH CARE
FINANCIAL BURDEN
FINANCIAL CONTRIBUTIONS
FINANCIAL INCENTIVES
FINANCIAL MANAGEMENT
FINANCIAL RISK
FINANCIAL SUPPORT
FINANCIAL SUSTAINABILITY
FLAT RATE
FREE CARE
GENERAL PRACTICE
HEALTH CARE
HEALTH CARE CENTERS
HEALTH CARE COSTS
HEALTH CARE FINANCING
HEALTH CARE REFORM
HEALTH CARE SECTOR
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CARE UTILIZATION
HEALTH CENTRES
HEALTH ECONOMICS
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FOR ALL
HEALTH INSURANCE
HEALTH INSURANCE FUND
HEALTH INSURANCE SYSTEM
HEALTH OUTCOMES
HEALTH PLANNING
HEALTH POLICY
HEALTH POLICY OBJECTIVES
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SERVICES RESEARCH
HEALTH SPENDING
HEALTH STATUS
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH ­ RESULTS
HEALTH-CARE
HEALTH-CARE SYSTEM
HEALTHCARE
HEALTHCARE PROVIDERS
HEALTHCARE SERVICES
HEALTHCARE SYSTEM
HOMELESS PEOPLE
HOSPITAL ADMISSIONS
HOSPITAL BEDS
HOSPITAL CARE
HOSPITAL COSTS
HOSPITAL EMERGENCY SERVICES
HOSPITAL INPATIENT
HOSPITAL SERVICES
HOSPITALIZATION
HOSPITALS
HR
HYGIENE
IMPACT OF COST
INCOME
INCOME CATEGORIES
INCOME GROUPS
INCOME HOUSEHOLDS
INDUCED DEMAND
INEQUALITIES
INEQUALITIES IN HEALTH CARE
INEQUALITY
INEQUITY IN HEALTH
INFANT CARE
INFORMAL PAYMENTS
INPATIENT ADMISSION
INPATIENT CARE
INPATIENT TREATMENT
INSURANCE
INSURANCE AGENCIES
INSURANCE AGENCY
INSURANCE COMPANIES
INSURANCE COVERAGE
INSURANCE PACKAGE
INSURANCE POLICY
INSURANCE RATES
INSURANCE SYSTEM
INSURERS
INTERNATIONAL COMPARISONS
LAWS
LOW INCOME
LOW-INCOME COUNTRIES
MEDICAID
MEDICAL CARE
MEDICAL SERVICES
MEDICATION
MEDICINES
MORAL HAZARD
MORBIDITY
MORTALITY
NATIONAL HEALTH
NURSING
OPERATIONAL COSTS
OUTPATIENT CARE
OUTPATIENT SERVICES
PATIENT
PATIENT COST
PATIENTS
PAYMENTS FOR HEALTH CARE
PHARMACEUTICAL COMPANIES
PHYSICIAN
PHYSICIANS
PHYSIOTHERAPY
POCKET PAYMENTS
POLICY RESEARCH
PREGNANCY
PREGNANT WOMEN
PRESCRIPTION DRUGS
PRESCRIPTIONS
PREVENTIVE CARE
PRICE ELASTICITIES
PRIMARY CARE
PRIVATE HEALTH INSURANCE
PRIVATE HOSPITALS
PRIVATE INSURANCE
PRIVATE SECTOR
PRIVATE SPENDING
PROVIDER PAYMENT
PROVISION OF CARE
PSYCHIATRIC CARE
PUBLIC ATTITUDES
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH CARE
PUBLIC HEALTH SERVICES
PUBLIC HOSPITAL
PUBLIC HOSPITAL SERVICES
PUBLIC HOSPITALS
PUBLIC INSURANCE
QUALITY OF CARE
REFORM OF HEALTH CARE
SAVINGS
SLIDING SCALE
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SURGERY
TREATMENTS
USER FEE
USER FEES
VICTIMS
VISITS
VULNERABLE GROUPS
WELFARE BENEFITS
WORKERS
WORKING CONDITIONS
World Bank
Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
geographic_facet Europe and Central Asia
Hungary
description This study, done at the request of the Hungarian government, presents evidence on cost-sharing in the health sector, and its application in Hungary. It presents results on the impact of cost-sharing on revenues in health facilities and insurance, financial sustainability, informal payments, overall service use, and equity in access. Five keyfindings emerge: cost-sharing could lead to a reduction in unnecessary care provided to insured patients who do not have to pay the full price of care; cost-sharing could help reduce informal payments and keep patient payments in the system; cost-sharing with exemption policies are a prerequisite to provide equity in access to care; cost-sharing could support cost containment strategies; experience from OECD countries provides examples of successful cost-sharing policies. Based on these findings. the study recommends that Hungary continues to monitor and evaluate the impact of cost-sharing on access, to identify possible negative effects on equity in service use. In Hungary, financial incentives through the provider payment system could eventually support the effect of the government supply-side strategy. Such financial incentives could be set to providers through capitation payment to reward better quality of care, and Diagnosis Related Group (DRG) payments with expenditure ceilings with strict utilization review and quality assurance control to set an incentive for efficient provision of care.
format Economic & Sector Work :: Policy Note
author World Bank
author_facet World Bank
author_sort World Bank
title Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
title_short Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
title_full Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
title_fullStr Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
title_full_unstemmed Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary
title_sort evidence on cost-sharing in health care : applications to hungary : executive summary
publisher Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
http://hdl.handle.net/10986/12854
_version_ 1764421152522895360
spelling okr-10986-128542021-04-23T14:03:03Z Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary World Bank ADMINISTRATIVE BURDEN ADMINISTRATIVE COSTS ADOLESCENTS ADVERSE SELECTION AFFORDABILITY AMBULANCE AMBULATORY CARE AMBULATORY SURGERY ANCILLARY SERVICES BEDS BREAST CANCER BRIBES CAPITATION CAPITATION PAYMENT CATASTROPHIC HEALTH EXPENDITURE CATASTROPHIC HEALTH SPENDING CHRONIC DISEASES CLINICS CONTRIBUTION TO COSTS CORRUPTION COST OF HEALTH CARE COST SHARING COST-SHARING COST-SHARING ARRANGEMENTS COST-SHARING POLICIES DEDUCTIBLE DEDUCTIBLES DEMAND FOR HEALTH DEMAND FOR SERVICES DENTAL CARE DETERMINATION OF ELIGIBILITY DIAGNOSIS DISABLED DOCTORS DRUG THERAPY ELASTICITY OF DEMAND FOR HEALTH CARE EMERGENCY CARE ENTITLEMENT EQUITY IN ACCESS EXCHANGE RATE EXCLUSIONS FAMILIES FEE-FOR-SERVICE FINANCE OF HEALTH CARE FINANCIAL BURDEN FINANCIAL CONTRIBUTIONS FINANCIAL INCENTIVES FINANCIAL MANAGEMENT FINANCIAL RISK FINANCIAL SUPPORT FINANCIAL SUSTAINABILITY FLAT RATE FREE CARE GENERAL PRACTICE HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE REFORM HEALTH CARE SECTOR HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE UTILIZATION HEALTH CENTRES HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INSURANCE HEALTH INSURANCE FUND HEALTH INSURANCE SYSTEM HEALTH OUTCOMES HEALTH PLANNING HEALTH POLICY HEALTH POLICY OBJECTIVES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH ­ RESULTS HEALTH-CARE HEALTH-CARE SYSTEM HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEALTHCARE SYSTEM HOMELESS PEOPLE HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL COSTS HOSPITAL EMERGENCY SERVICES HOSPITAL INPATIENT HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HR HYGIENE IMPACT OF COST INCOME INCOME CATEGORIES INCOME GROUPS INCOME HOUSEHOLDS INDUCED DEMAND INEQUALITIES INEQUALITIES IN HEALTH CARE INEQUALITY INEQUITY IN HEALTH INFANT CARE INFORMAL PAYMENTS INPATIENT ADMISSION INPATIENT CARE INPATIENT TREATMENT INSURANCE INSURANCE AGENCIES INSURANCE AGENCY INSURANCE COMPANIES INSURANCE COVERAGE INSURANCE PACKAGE INSURANCE POLICY INSURANCE RATES INSURANCE SYSTEM INSURERS INTERNATIONAL COMPARISONS LAWS LOW INCOME LOW-INCOME COUNTRIES MEDICAID MEDICAL CARE MEDICAL SERVICES MEDICATION MEDICINES MORAL HAZARD MORBIDITY MORTALITY NATIONAL HEALTH NURSING OPERATIONAL COSTS OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT COST PATIENTS PAYMENTS FOR HEALTH CARE PHARMACEUTICAL COMPANIES PHYSICIAN PHYSICIANS PHYSIOTHERAPY POCKET PAYMENTS POLICY RESEARCH PREGNANCY PREGNANT WOMEN PRESCRIPTION DRUGS PRESCRIPTIONS PREVENTIVE CARE PRICE ELASTICITIES PRIMARY CARE PRIVATE HEALTH INSURANCE PRIVATE HOSPITALS PRIVATE INSURANCE PRIVATE SECTOR PRIVATE SPENDING PROVIDER PAYMENT PROVISION OF CARE PSYCHIATRIC CARE PUBLIC ATTITUDES PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC HOSPITAL PUBLIC HOSPITAL SERVICES PUBLIC HOSPITALS PUBLIC INSURANCE QUALITY OF CARE REFORM OF HEALTH CARE SAVINGS SLIDING SCALE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SURGERY TREATMENTS USER FEE USER FEES VICTIMS VISITS VULNERABLE GROUPS WELFARE BENEFITS WORKERS WORKING CONDITIONS This study, done at the request of the Hungarian government, presents evidence on cost-sharing in the health sector, and its application in Hungary. It presents results on the impact of cost-sharing on revenues in health facilities and insurance, financial sustainability, informal payments, overall service use, and equity in access. Five keyfindings emerge: cost-sharing could lead to a reduction in unnecessary care provided to insured patients who do not have to pay the full price of care; cost-sharing could help reduce informal payments and keep patient payments in the system; cost-sharing with exemption policies are a prerequisite to provide equity in access to care; cost-sharing could support cost containment strategies; experience from OECD countries provides examples of successful cost-sharing policies. Based on these findings. the study recommends that Hungary continues to monitor and evaluate the impact of cost-sharing on access, to identify possible negative effects on equity in service use. In Hungary, financial incentives through the provider payment system could eventually support the effect of the government supply-side strategy. Such financial incentives could be set to providers through capitation payment to reward better quality of care, and Diagnosis Related Group (DRG) payments with expenditure ceilings with strict utilization review and quality assurance control to set an incentive for efficient provision of care. 2013-03-22T17:25:49Z 2013-03-22T17:25:49Z 2008-02-15 http://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary http://hdl.handle.net/10986/12854 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Policy Note Economic & Sector Work Europe and Central Asia Hungary