Oct 12, 2009

Health Leadership 2009

The Netherlands win the 2009 Euro Health Consumer Index (EHCI), for the second year in a row.

Nevertheless, Denmark keeps its runner-up position from last year. Besides The Netherlands and Denmark there are other strong performers like Iceland, Austria and Switzerland, leaving the UK in a disappointing 14th position....

Index performance criteria
The EHCI 2009 groups 38 indicators of quality into six categories: Patient rights and information, e-Health, Waiting time for treatment, Outcomes, Range and reach of services provided and Pharmaceuticals.
Each sub-discipline is weighted for importance to provide the overall Index score.

HCP research director, Dr. Arne Bjornberg, states: The Dutch might have found a successful approach that combines competition for funding and provision within a regulated framework.

Effective Health (Actuarial) Principles
In actuarial context, the success of the Dutch health system is based on a few very simple principles:
  • Risk Solidarity
  • Risk Equalization
  • No Risk Selection
  • Free choice of Care Providers & Health Insurer
  • Transparent ranking of Care Providers on bases of cost & quality
  • Worldwide cover

The Dutch Health Care System
An excellent summary of the Dutch Health Care System can be viewed on YouTube:

Health care In the Netherlands


Of course the Dutch system is no panacea, there are also many challenges and disadvantages.

Just to mention some....



Nevertheless, the Dutch system can be an inspiring example for countries like the US and the UK.


Let's conclude with an interesting development. In an 2009 article called A Strategy for Health Care Reform, Michael E. Porter presents the principles for a new health system, based on the idea that the central focus must be on increasing value for patients.

Related downloads/sources:

Sep 28, 2009

Early Retirement hits Mortality

Do early pensioners live longer?

Or, to rephrase this: What's the influence of early retirement on mortality?

The answer has been given in a 2005 BMJ paper called:


In a long term (1973-2004) cohort research, the mortality of past Shell Oil employees,who retired at ages 55, 60, and 65, have been studied.

Outcome
The main outcome of this study is that subjects who retired early at 55 and who were still alive at 65 had a significantly higher mortality than those who retired at 65 (hazard ratio 1.37, 95% confidence interval 1.09 to 1.73).

After adjustment, mortality was similar between those who retired at 60 and those who retired at 65 (1.06, 0.92 to 1.22).

So we may (carefully) conclude that working longer, means living longer...

Another interesting question, that hasn't been answered yet, is:
'what's the influence of early retirement on our healthy life years...

Sep 17, 2009

Free Course Finance of Aging

The aging of the population raises numerous economic and financial issues for pension funds, insurance companies and governments.
To take wise decisions, expert knowledge in these organizations is crucial. To provide this knowledge a Dutch organization called Netspar initiated courses on an academic level.

Netspar is an independent network for research, education and knowledge exchange in the field of pensions, aging and retirement.

In 2009 Netspar introduced a new course Master's program Economics and Finance of Aging, that can also be followed individually or in tracks.

To make things even easier, Netspar developed the



Lans Bovenberg, professor ar the Tilburg University, introduces you in the interesting world of Economics and Finance of Aging.

This course is completely free and ca be viewed online.

So, whether you're an actuary or not, if you've got a few spare minutes left a day, don't miss this free course......