OECD Healthcare Insurance Coverage 2024

A mandatory national scheme that covers 'exceptional' expenses, primarily for disability and long-term care, covering the entire population and financed through income-related contributions.

A basic healthcare package consisting of essential care, mandatory for all Dutch citizens, with multiple insurers competing for customers. This package is subsidized for low-income citizens and minors.

A voluntary private insurance system for additional healthcare services not covered by the basic package, including dental care, physiotherapy, alternative medicine, etc. About 80% of Dutch people have this coverage.

A private health insurance policy replaces mandatory coverage, providing broader benefits but at a higher price. This is an alternative to the government-provided healthcare system.

A private health insurance policy that supplements mandatory coverage, providing additional benefits or access to specific healthcare providers. This is commonly used to customize healthcare options.

The military personnel have a dedicated healthcare scheme separate from the mandatory basic insurance.

Individuals with religious or personal objections to mandatory health insurance can opt out, but they still have to pay a contribution which is deposited in a special fund (MSA).

A small percentage of people (0.1%) are unable to pay their health insurance premiums consistently.

A healthcare system where healthcare providers operate independently, with contracts and competition driving provider decisions and patient choices.

A healthcare system where providers are part of a single organization, with centralized management and standardized protocols.

Focuses on the formal agreements and contracts that bind healthcare providers together in a healthcare system. It essentially examines the organizational structure.

Focuses on the actual collaboration and coordination between providers treating the same patient, emphasizing individual interactions.

A healthcare system where providers work together as a cohesive unit, effectively coordinating care and sharing information for better outcomes.

A healthcare system where insurers and providers are part of the same organization.

A healthcare system where insurers and providers are independent entities.

Involves vertical integration, where primary and secondary care providers are part of the same organization.

Involves horizontal integration, where primary and secondary care are provided by separate entities.

Provides basic medical care for common illnesses and problems. GPs are the primary care providers.

Specialized medical care for complex illnesses and conditions. Requires advanced equipment and specialists.

A healthcare system where patients are limited to choosing providers within a contracted network.

A healthcare system where patients have the freedom to choose any provider, public or private.

A system where health care is provided by the government and funded through general taxation, ensuring universal access.

A system where health care is financed through social insurance contributions, typically paid by employees and employers.

A system where health care is primarily funded through private insurance purchased by individuals.

A measure of the concentration of power in a political system, with lower values indicating a more decentralized system.

Actors or institutions in a political system that have the ability to block or significantly alter policy proposals.

A process by which citizens directly vote on a proposed policy or law.

A type of parliament with two chambers (houses) with different legislative powers.

A government formed by two or more political parties that agree to share power and responsibilities.

In Switzerland, health insurance is mandatory for all residents, with a basic insurance package covering essential medical services.

The basic health insurance covers a wide range of medical treatments like doctor visits, hospital stays, and physiotherapy, but it doesn't cover dental care. It's a mandatory insurance plan that every resident needs to buy.

Swiss basic health insurance rates are uniform within each insurance company for people in the same age group and region. This means that everyone in the same age category and living in the same area pays the same premium for a specific insurance plan, regardless of their health status or gender.

Swiss health insurance companies are not allowed to profit from the basic health insurance plan. They can, however, make profits from additional, optional health insurance plans.

In Switzerland, patients contribute to the cost of healthcare through deductibles and copayments.

Swiss patients pay a fixed annual deductible upfront, which depends on the plan they choose. A higher deductible typically results in lower premiums. This amount is paid before insurance covers any healthcare expenses.

A system where healthcare providers compete for patients by offering services, and patients can choose where to receive care. Funds follow the patient's choice, making providers more efficient.

The process of transferring power and responsibility for healthcare from the central government to regional or local authorities.

In addition to the deductible, Swiss patients pay 10% of the cost of medical services above the deductible. However, this copayment is capped at CHF 700 per year.

In Switzerland, about 70% of acute care in hospitals is provided by public or publicly subsidized private hospitals. Public hospitals are often managed by cantons, municipalities, or foundations while private hospitals can be either for-profit or not-for-profit.

The right of patients to choose their healthcare provider, including the ability to select from different hospitals or doctors.

Expanding the coverage of healthcare insurance to include more people or services.

The process of separating healthcare providers from the entities that purchase healthcare services, promoting competition and efficiency.

A system where general practitioners (GPs) act as purchasers of healthcare services for their patients, managing a healthcare budget.

Transforming hospitals into independent organizations that are responsible for managing their own finances and operations.

A system where the performance of healthcare providers is assessed and rated using various indicators, such as waiting times, cleanliness, and specific treatment data.