OECD Reviews of Health Systems: Switzerland 2011

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Five years after the first Review of Switzerland’s health system, the OECD and the World Organization combined their expertise again to report on progress and implementation of health reforms in the Swiss health system. In addition to taking stock of the good overall performance of the Swiss health system, the two organizations propose concrete ways to help the system be more efficient and prepare for the future health needs of the Swiss population. The report focuses on three important issues: health insurance markets, health workforce planning and management and governance of the health system.

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Health Insurance

This chapter examines the health insurance system of Switzerland. Section 2.1 outlines the general trends in Switzerland’s health insurance market, including the role of private supplementary health insurance. Section 2.2 discusses health financing equity issues and the financial burden faced by households by assessing premium level differences, the premium subsidy mechanism and out-of-pocket payments. In Section 2.3, the extent of competition in the health insurance market is discussed, with a focus on the risk equalisation mechanism and managed care plans. Finally, Section 2.4 reviews the current reform agenda and examines proposals on the surveillance of the insurance market and the development of integrated care networks.

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