Roger van Boxtel, CEO Menzis Washington, april 15th 2008 Financing healthcare in the Netherlands: experiences and challenges

Menzis Number of insured 2 million Annual turnover 7 billion euro = more than 10 billion dollars Staff 2.500 Corporate image - customer oriented - Corporate Social Responsibility - innovative - not for profit

Number of insured 2 million

Annual turnover 7 billion euro = more than 10 billion dollars

Staff 2.500

Corporate image - customer oriented

- Corporate Social Responsibility

- innovative

- not for profit

EMEA EMEA National Health Service SPP Collective Health care insurance Supplementary Supplementary Supplementary Public Individual Before… …and after

Two systems Long term health care (EMEA) private health insurance for all other care Level playing field insurers Contracting choice New health care providers

Long term health care (EMEA)

private health insurance for all other care

Level playing field insurers

Contracting choice

New health care providers

Durability Solidarity Accessibilty Quality Efficiency Healthcare in the Netherlands

Sources of financing premiums (not income-related) Adjustment-contribution Risk balancing fund Insured Insurers Income-related Taxes 50% 43% 7%

Macro-expenditure Health care Insurance Law 2008 (30,5 billion) Financial flows Risico- Verevenings- fonds Risk Balancing fund Employer Government Insured Insurer Health care provider 50% 5% 45% Restitutie Direct (care) Individual payment Health care surcharge

Current situation Long term health care Hospital health care Employers’ contributions Diagnosis Related Groups Quality and transparancy Customer collectives Insurers: mergers and takeovers

Long term health care

Hospital health care

Employers’ contributions

Diagnosis Related Groups

Quality and transparancy

Customer collectives

Insurers: mergers and takeovers

A positive future Waiting lists Patient driven (care ánd insurers) More transparancy – more quality

Waiting lists

Patient driven (care ánd insurers)

More transparancy – more quality

Thank you