CHANGES IN THE MARKET SHARE OF PRIVATE, FOR-PROFIT HEALTH CARE PROVIDERS FROM THE HUNGARIAN HEALTH INSURANCE BUDGET BETWEEN 2010-2014
Author(s)
Endrei D1, Zemplényi A1, Csákvári T2, Molics B1, Elmer D1, Cs. Horváth Z3, Vajda R1, Sebestyén A4, Pónusz R1, Boncz I1
1University of Pécs, Pécs, Hungary, 2University of Pécs, Zalaegerszeg, Hungary, 3Government Office of Baranya County, Pécs, Hungary, 4National Health Insurance Fund Administration, Pécs, Hungary
OBJECTIVES: The potential role of private health care providers and privatization has been under heavy discussion in many countries. In the Hungarian health care, there was a strong governmental intervention in 2012-2013 and therefore most of the Hungarian hospitals became the property of the government. The aim of the study is to analyze the market share of for-profit private sector from the public health insurance expenditures on medical services. METHODS: Data were derived from the nationwide administrative dataset of the National Health Insurance Fund Administration (OEP), the only health care financing agency in Hungary, covering the period 2010-2014. The analysis includes the medical provisions (primary care, health visitors, dental care, out- and inpatient care, home care, kidney dialysis, CT-MRI). We calculated the health insurance reimbursement according to the following categories of health care providers’ ownership status: local authorities, central government, for-profit companies and non-profit providers. RESULTS: In 2010 as much as 31.7 % of total expenditure for medical services went to for-profit private providers, 41.7 % to local authorities, 23.7 % to central government and 2.9 % to nonprofit sector. For 2014, the market share of private for-profit health care providers decreased to 24.3 %, the local authorities had 4.7 %, the central government 69.2 % and the non-profit sector 1.8 % market share. We found the largest decrease of private for-profit health care providers in acute (from 17.1 % in 2010 to 1.2 in 2014) and chronic care (from 22.7 % in 2010 to 6.1 % in 2014). CONCLUSIONS: In line with the health policy objectives between 2010-2014, we found a significant decrease of private for-profit companies from health insurance financing. Their market share decreased from 31.7 % (2010) to 24.3 % (2014). This decrease was attributed to the “nationalization” of acute and chronic care hospitals.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PHP88
Topic
Economic Evaluation, Health Policy & Regulatory, Health Service Delivery & Process of Care
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies, Health Care Research, Reimbursement & Access Policy
Disease
Multiple Diseases