Even before the COVID-19 crisis, rapidly growing healthcare expenditure was calling the sustainabi- lity of public finances into question. The pandemic has reinforced these concerns and also under- lined the importance of resilient healthcare systems. To highlight the need for economic policy...

This study adopts a quasi-experimental approach to empirically identify the discretion exercised by municipalities in conducting eligibility assessments for Japan’s Long-Term Care Insurance (LTCI) program. It leverages the municipal merger phenomenon in the first half of the 2000s as a...

Резюме: Предмет на настоящото изследване е правната характеристика на правото на здраве и съотношението му с правото на здравно осигуряване и правото на...

Japan’s national hospital system, which consists of a combination of private, national, prefectural and metropolitan hospitals, is the largest employers of the of the doctors. The article provides details on the women doctors’ discontinuous workforce participation in the Japanese hospital...

These projections show that demographic change will have a significant impact on the dynamism of healthcare expenditure. The effect of an ageing population is most significant in the area of long-term care. For healthcare excluding long-term care, non-demographic cost drivers – such as the...

A key concern of this study is to evaluate the increase in healthcare expenditure as a result of an ageing Swiss population and to highlight the resulting financial burden for the public finances and mandatory basic healthcare insurance. In addition, the study also shows the adjustment levers...

This paper describes the reasons at the basis of the insufficiency of pay-as-you-go systems to provide resources for financing health care in an ageing society with the low rates of growth that will characterise western industrialised economies during next decades. Intuitive arguments are...

Medicare Part B pays physicians through a fixed fee schedule designed loosely as a system of average-cost reimbursement. This paper examines four difficulties faced by systems of this kind. First, Medicare's payment model would be improved if it accounted for the medical value and...

Healthcare systems differ greatly across the world, however, it appears that the extent of public insurance (publicly/government funded healthcare) is the only institutional characteristic that plays a significant role in accounting for the large disparities in total healthcare spending. Other...

Eligibility assessments play an important role in Japan’s long-term care insurance program and have been designed so that municipalities do not have discretion in their working. However, there are doubts about eligibility assessments based on the municipal fiscal situation. This study...