Health Spending in Japan : Macro-Fiscal Implications and Reform Options / Masahiro Nozaki, Kenichiro Kashiwase, Ikuo Saito.

Format:

Book

Government document

Author/Creator:

Nozaki, Masahiro.

Contributor:

Kashiwase, Kenichiro.

Saitō, Ikuo.

Series:

IMF Working Papers; Working Paper ; No. 2014/142

IMF Working Papers

Language:

English

Subjects (All):

Medical care, Cost of--Japan.

Medical care, Cost of.

Medical economics--Japan.

Medical economics.

Expenditures, Public--Medical care--Japan.

Expenditures, Public.

Physical Description:

1 online resource (40 p.)

Place of Publication:

Washington, D.C. : International Monetary Fund, 2014.

Language Note:

English

Summary:

Health spending has risen rapidly in Japan. We find two-thirds of the spending increase over 1990–2011 resulted from ageing, and the rest from excess cost growth. The spending level will rise further: ageing alone will raise it by 3½ percentage points of GDP over 2010–30, and excess cost growth at the rate observed over 1990–2011 will lead to an additional increase of 2–3 percentage points of GDP. This will require a sizable increase in government transfers. Japan can introduce micro- and macro-reforms to contain health spending, and financing options should be designed to enhance equity.

Contents:

Cover; Contents; I. Introduction; Figures; 1. Advanced Economies: Health Spending and Outcomes, 2009-11; 2. Japan: Fiscal Developments and Demographic Trend, 1960-2060; II. Anatomy of Health Care and Long-term Care Spending and Financing; A. Decomposition of Past Spending Increases; 3. Japan: Health Spending, 1960-2011; Tables; 1. Japan: Decomposition of Changes in Health Spending, 1970-2011; 4. OECD Countries: Decomposition of Changes in Health Spending; B. Spending and Financing Projections; 5. OECD Countries: Health Spending by Age Cohort; 6. Japan: Projected Health Spending, 2010-60

7. Fan Chart of Health Spending to GDP Ratio and Sensitivity to Population Dynamics8. Effect of Healthy Ageing; 9. Japan: Premium Contributions and Patient Copayments for Health Care by Age Cohort, 2010; 10. Japan: Projected Financing Mix of Health Spending, 2010-30; 11. Japan: Premium Contributions for Health Care by Age Cohort, 2010-30; III. Reform Options; A. Options to Contain Health Spending Growth; 2. Japan: Comparison of Projected Increases in Health Spending, 2010-60; 3. OECD Countries: Health Care System Characteristics, 2011 or Latest Year Available

12. Japan: Price Index of HC and LTC Services and Per-capita Health Spending, 2003-1113. Japan: Per-capita HC Spending by the Elderly, Their Length of Hospital Stay, and the Number of Beds Per-capita, by Prefecture; B. Options to Raise Copayments and Premium Contributions; 14. OECD Countries: Out of Pocket Payments, 2011 or Latest Year Available; C. Estimated fiscal savings; IV. Concluding Remarks; 4. Japan: Estimated Fiscal Savings from Reform Options; Box; 1. Japan's Health System; Appendices; I. Two Sources for Health Spending Data; II. Methodology to Project Contribution Rates

III. Institutional Indicators of Health Care Systems in OECD CountriesReferences

Notes:

Description based upon print version of record.

Includes bibliographical references.

Description based on online resource; title from PDF title page (ebrary, viewed September 18, 2014).

ISBN:

9781498360623

1498360629

9781484388211

1484388216

9781498363983

1498363989