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The Private Health Insurance Market in Europe: Future trends, emerging opportunities and key players
Posted by | Posted in Medical Health | Posted on 03-12-2009
The dynamics of healthcare funding in Europe is changing. As governments review their options to meet growing healthcare demands with limited resources, the potential to combine cost reduction with new funding sources will gain support in many countries. Reimbursement decisions in the public sector are becoming increasingly tougher for pharmaceutical and diagnostic manufacturers; the private market offers a potential alternative route to gaining market access.
Private insurers currently play differing roles in European national healthcare systems. This report reviews their role in the major European markets and provides an insight into trends in their coverage of health benefits and products. It highlights selected product areas where private insurance could fill the gaps in public reimbursement . An insight into the European private insurance industry, including overall trends and profiles of leading insurers, provides an indication of future developments within the sector and highlights potential opportunities for pharmaceutical and diagnostic companies to work with private insurers.
Key features of this report
• Reviews healthcare systems and the role of private insurers in the five major European markets of France, Germany, Italy, Spain and the UK.
• Analyzes the healthcare systems in the Netherlands and Switzerland, where mandatory health insurance is purchased from private insurers operating in regulated competitive models. These have parallels with the State of Massachusetts’ system, which has been considered a blueprint for other US states and for federal reform.
• Examines some of the issues in gaining market access for pharmaceuticals and diagnostics through coverage by private health insurers and highlights initiatives being undertaken by insurers that present potential partnership opportunities for companies.
• Details trends in the private health insurance market, including relative market shares for the main markets in terms of benefits paid for by private insurers.
Scope of this report
• Understand the diverse roles played by private insurance in funding pharmaceutical and diagnostic products in major European markets and the relative importance of private funds in healthcare spending.
• Identify the key players in each market who will be potential targets for gaining market access in the privately-funded sector.
• Review what new opportunities might be afforded in the private sector for products that are denied reimbursement in the public sector.
• Tailor product portfolios to meet differing needs of individual markets.
Key Market Issues
• The function of private health insurance depends on coverage provided by national public healthcare systems. Understanding which type of private health insurance – substitutive/primary, complementary/supplementary or duplicative/competitive – is dominant in each market is key to assessing market potential.
• Gaining reimbursement for medical diagnostic products and treatments in the public sector is becoming increasingly challenging in many countries as the cost and medical necessity of certain products are coming under closer scrutiny by public payors. Some private insurers are showing interest in covering medicines for minor ailments and lifestyle products that are excluded from public reimbursement.
• Managing costs is a challenge for private insurers in the current economic climate as medical inflation and price competition in the industry create additional pressures. Insurers are adapting their portfolios to address market needs, with a focus on disease prevention and promotion of healthy lifestyles.
Key findings from this report
• There are over 84 million Europeans with some form of private health insurance. Germans account for the largest proportion of the privately insured population, with 22.3 million, followed by the Dutch with 16.2 million.
• Healthcare benefits paid by private insurers account for 8% of total European healthcare expenditure, a share that is on course to increase as public payors redefine their benefits package.
• The cost of medicines accounts for a significant proportion of private insurers’ costs in most markets. Around 93% of the French population has complementary health insurance to cover costs not reimbursed by the social health insurance system, with 30% of insurers’ costs going towards the cost of medicines.
• Private insurers provide comprehensive health cover to 10.5% of Germans and almost all the population of the Netherlands and Switzerland. Voluntary insurance also plays a significant role in these markets to complement and supplement the statutory benefit package.
• France has the highest density of private health insurers at 893, whereas the industry is concentrated among relatively few players in most other markets – there are 46 insurers in Germany, 30 in the Netherlands and 27 in the UK.
Key questions answered
• How many Europeans have private health insurance and why do they purchase private cover?
• What proportion of healthcare costs are paid for by private insurers in the major European markets?
• How influenced are private insurers by public health pharmaceutical reimbursement decisions?
• Who are the major movers and shakers in the European private health insurance market?
• What initiatives are underway by insurers to cover pharmaceutical products not reimbursed by national healthcare systems?
• What role do private insurers play in public-private partnerships?
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Watch the video related to private health
July 16, 2009 House Ways and Means Committee markup of HR 3200 Congressman Paul Ryan presses the authors of the one-trillion-plus dollar, one-thousand-plus page health care bill on another disturbing consequence that hits close to home. In less than five years, a Milwaukee-based employer will no longer be allowed to create new insurance policies in the individual market. The creation of new individual private health insurance plans will be illegal as this bill is currently written. From HR 3200, Title 1, Section 102: LIMITATION ON NEW ENROLLMENT Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of [2013]. (Source: waysandmeans.house.gov Earlier today, Paul Ryan asked House Ways and Means Health Subcommittee Staff Director Cybele Bjorklund to clarify this concern: Ryan: In 2013, let’s take Assurant, a large employer in Milwaukee – 800 of which live in the district I represent – Assurant is a big, individual market insurer. After 2013, Assurant can no longer enroll people in their individual market plans. Is that correct? Bjorklund: Yeah. They can enroll family members of people who are already in and they can choose to participate in the [federal government] exchange, where they will have a large ready market, many of whom will have subsidies behind their backs, and they can operate in there. Ryan: Okay. Just <b>…</b>
Help answer the question about private health
Why does anyone think that private health insurance is the answer to all ills?As demonstrated to me by my own insurance, health insurance is designed to protect against problems that end after a year or two. If you problem will continue through your life, they simply raise your premium until the insurance costs more than the treatments.
I feel very insulted by the insistence on this site that private health insurance can be an answer for long term illness. Why does anyone think that?
~~This is a mute point because Nationalized insurance is not in the works. All the government is proposing is an alternative for people who can't get employer based insurance to be able to buy directly from the same insurance that senators and congressmen get. Otherwise, business as usual for private insurance companies.~~
If it was possible to have 100% coverage paid by our taxes (even if it makes our taxes increase) then I am all for it, but as of right now there is no option so what is the purpose of the question if the choice is not there?
Shame on us for not paying more attention to what all these CROOKS having been pulling on us for DECADES! We need to KEEP UP THE PRESSURE FROM NOW UNTIL F-O-R-E-V-E-R!!
great video…
thanks.
In most cases, you are paying too much for your coverage. You generally are best off just getting the bcbs plan from your employer. However, they can work together in some instances. If one is used as primary and then the other can pick up the co-pays at the doctor's office and other things. I know one person who has a situation like this. However, this person has coverage from their own employer and their spouse's employer. Their plan pays as primary, the other picks up everything except the annual deductible. Since the plans are written differently from each other, if they used the spouse's plan as primary, then their own plan would pick up nothing as secondary. Since both plans are through the employers and that person has a lot of medical expenses, it saves money to have both plans on that one person. Since the spouse has few medical expenses, they only have one plan on that spouse. In most cases, your private medical insurance is going to cost you more to carry than the out-of-pocket maximum on the plan with the employer. In most cases, you would do well to carry only one plan.
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In most cases, you are paying too much for your coverage. You generally are best off just getting the bcbs plan from your employer. However, they can work together in some instances. If one is used as primary and then the other can pick up the co-pays at the doctor's office and other things. I know one person who has a situation like this. However, this person has coverage from their own employer and their spouse's employer. Their plan pays as primary, the other picks up everything except the annual deductible. Since the plans are written differently from each other, if they used the spouse's plan as primary, then their own plan would pick up nothing as secondary. Since both plans are through the employers and that person has a lot of medical expenses, it saves money to have both plans on that one person. Since the spouse has few medical expenses, they only have one plan on that spouse. In most cases, your private medical insurance is going to cost you more to carry than the out-of-pocket maximum on the plan with the employer. In most cases, you would do well to carry only one plan.
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It's the best way to find an affordable health insurance with a reliable company
Eventually the private insurance industry will fall. The current bill states that if you leave a job with private insurance you will not be able to get on the insurance of the next job, you will have to go on gov. insurance. So essentially that means everyone will be placed on government insurance with no option to get back on private.
This is due in part because the states own all of the cars. Note he says registered vehicles. My older brother worked at DMV and they shred the Manufacture Certificate of Origin and create a certificate of title making them the owner before the car is even sold. This is mandated to us if we are 14th amendment citizens. I suggest you undo that right away for a multitude of reasons. Then they can mandate NOTHING.
Private health insurance is still available and most people will continue to have it. BUT, there will be changes and some companies have already made changes. Since you won't be able to be declined for coverage some companies are lowering their benefits in hopes that if they get a customer with a long-term, expensive disease that they'll choose to go to another company for richer benefits. Assurant got rid of their best two plans AND they removed maternity coverage from their policies. If they have to cover everyone that's pregnant can you blame them for just nixing the coverage altogether?
This guy is telling the truth.
More info here:
Six uncontested issues putting The U.S.A. on an UNsustainable path.
constitutionalvoices. org/bloggers/freedomblogger2/?p=3
(((((DELETE THE SPACES)))))
By the time you get to the bottom of the page I”m sure you’ll see how badly our government is screwing us.
It's all about money you know. That's why they don't and never will.
Where did your figures come from? It is the number going to the ER that is a major factor in the rising costs. Especially the illegals.