Chile Health Insurance Issues: Old Age and Catastrophic Health Costs
World Bank Publications, Jan 1, 2000 - Business & Economics - 43 pages
Past successes are creating new challenges for the Chilean health care system. Chile's population is aging as a result of increasing life expectancy and declining fertility. In Chile, as elsewhere in the world, an older population causes concern about greater use of health services, and the corresponding financial burden. Increasingly, Chile's medical system is using advanced technologies to provide care for serious health conditions affecting people of all ages. The expansion in access to costly, high-technology services puts additional pressure on health care financiers. This paper contributes to discussions on two related aspects of the future of Chile's health care delivery and financing: the effects of the aging of the population and the increasing demand for catastrophic care. Data from several sources is used in order to address complex questions and draw conclusions regarding the magnitude of the problem facing the Chilean government today and in the near future. In addition, the paper describes and evaluates the programs that have been proposed and implemented to assure access and contain costs, as well as analyze the strengthens and weaknesses of other options for financing catastrophic elderly care. It also discusses possible alternatives for dealing with catastrophic and elderly health care costs.
What people are saying - Write a review
We haven't found any reviews in the usual places.
Other editions - View all
age group analysis Author's calculations beneficiary population benefits and contributions billion burden capita CASEN catastrophic and elderly catastrophic costs catastrophic events Catastrophic Health Chile Chilean health Chilean pesos cost of catastrophic costly coverage deal with catastrophic defined as catastrophic definition of catastrophic Discharge Data 1993 E-mail elderly beneficiaries estimate expenditure threshold expensive Figure FONASA and ISAPREs FONASA beneficiaries FONASA income group FONASA population health care costs health insurance high co-payments higher income Hospital Discharge Data individual savings account Información Social Inter-American Development Bank interventions ISAPRE beneficiaries ISAPREs to FONASA Medical Saving Account Medicare MIDEPLAN migrate from ISAPREs migrate to FONASA MIGRATION BETWEEN INSURERS moral hazard number of catastrophic option pesos policies Prestaciones Complejas private insurance private sector Programa de Prestaciones Programa del Adulto proposal public facilities public program public sector reinsurance risk pool Salud Scenario Source three criteria total cost Treasury World Bank
Page 40 - Estudio: Alternativas de Solución para el Financiamiento de la Salud en la Tercera Edad en el Sistema ISAPRE", Superintendencia de ISAPRE.
Page 40 - Ronald and Pablo Serra: 1996. Analisis Economico del Sistema de Seguros de salud en Chile; Revista de Analisis Economico, Vol.
Page 15 - According to the first approach, catastrophic events should be defined with precision and clarity based on a list of specific high-cost illnesses that specifies events that occur rarely, are very expensive and are, in general, not covered sufficiently by insurance plans.