This document provides the program for the first Swiss Health Economics Workshop held on September 13, 2013 in Luzern. The workshop consisted of two parallel sessions of presentations and discussions on topics related to health economics and the Swiss health care system. Presentations addressed issues like payment schemes for hospitals, drivers of health care expenditures, risk adjustment models, and the effects of reimbursement reforms. The day-long workshop aimed to foster discussion around current research and challenges in health economics and policy in Switzerland.
The health protection system is the object of constant
pressures and difficulties in mitigating them, and even
more so eliminating or at least reducing them. Changes
are undertaken under the influence of a one-sided
political assessment, the interests of various groups of
participants or the protests of successive groups of medical
staff. There is no professional and fully documented
diagnosis of the system, made by independent experts,
which could serve as the basis for a comprehensive
health protection reform plan, rather than individual,
incidental changes that disrupt the system’s already
very fragile balance. A well thought-out reform, properly
distributed over time, so that at no point does it cause
negative health effects. A reform agreed among stake-
holders and adopted with understanding of the need
for changes, so that it is supported by society. A reform
for which there will be funds, institutions and engaged
professionals – leaders in health protection. A reform
that won’t be criticized or changed when the government
changes. Such a reform is waiting to be presented and
debated. We begin this process by pointing out and
presenting the system’s main problems.
ARENA - A patient's journey (Knight Moves).pdfKnight Moves
Presentations of John Mortimer (Service Designer & Business Consultant working on Buurtzorg
at Impro) & Pleuntje Jellema (Postdoc researcher, KU Leuven, Dept. of Architecture, Research[x]Design group) during the 'Arena • A patient's journey' conference hosted by Knight Moves.
The health protection system is the object of constant
pressures and difficulties in mitigating them, and even
more so eliminating or at least reducing them. Changes
are undertaken under the influence of a one-sided
political assessment, the interests of various groups of
participants or the protests of successive groups of medical
staff. There is no professional and fully documented
diagnosis of the system, made by independent experts,
which could serve as the basis for a comprehensive
health protection reform plan, rather than individual,
incidental changes that disrupt the system’s already
very fragile balance. A well thought-out reform, properly
distributed over time, so that at no point does it cause
negative health effects. A reform agreed among stake-
holders and adopted with understanding of the need
for changes, so that it is supported by society. A reform
for which there will be funds, institutions and engaged
professionals – leaders in health protection. A reform
that won’t be criticized or changed when the government
changes. Such a reform is waiting to be presented and
debated. We begin this process by pointing out and
presenting the system’s main problems.
ARENA - A patient's journey (Knight Moves).pdfKnight Moves
Presentations of John Mortimer (Service Designer & Business Consultant working on Buurtzorg
at Impro) & Pleuntje Jellema (Postdoc researcher, KU Leuven, Dept. of Architecture, Research[x]Design group) during the 'Arena • A patient's journey' conference hosted by Knight Moves.
1. 1
Final Program for the first Swiss Health Economics Workshop (September 13, 2013)
Location: Meeting Rooms at the CSS Versicherung Hauptsitz, Tribschenstr. 21, 6002 Luzern
10:00 Start
10:15 Introduction by Konstantin Beck
10:30 Plenary Speeches (Room 5.250) Speaker Discussant Chair
10:30 -
11:00
The division of labor between private and
social insurance
Peter Zweifel, Prof. em. Department of Economics, University
of Zurich, Zurich
Konstantin Beck
11:00 -
11:30
Inpatient Payment Schemes and Cost
Efficiency: Evidence From Swiss Public
Hospitals
Stefan Meyer, Department of Health Economics, University of
Basel, Basel
Parallel Session 1 (Room 5.250)
11:30 -
12:15
Is population ageing really dwarfed by
advances in medical technology as a driver
of healthcare expenditure (HCE)? Evidence
from the Swiss case
Carsten Colombier, Finanzwissenschaftliches
Forschungsinstitut, Universität zu Köln and Eidgenössische
Steuerverwaltung, Bern
Viktor von Wyl Harry Telser
12:15 -
13:00 Lunch
13:00 -
13:45
Choice of Reserve Capacity With Uncertain
Demand: Evidence from Swiss Hospitals
Under Prospective Payment
Phillippe Widmer, Polynomics, Olten and Department of
Economics, University of Zurich, Zurich
Konstantin Beck
Peter Zweifel
13:45 -
14:30
Risk Adjustment – Did we take the right
track?
Konstantin Beck, CSS-Institute for Empirical Health
Economics, Lucerne and Department of Economics, University
of Zurich, Zurich
Peter Zweifel
14:30 -
15:15
Risk adjustment can undermine solidarity
between generations: A longitudinal case
study from Switzerland
Viktor von Wyl, CSS-Institute for Empirical Health Economics,
Lucerne and Institute for Social and Preventive Medicine,
University of Bern, Bern
Renate Strobl
15:15 -
15:45 Coffee - Break
15:45 -
16:30
Reimbursement Reform and the Distribution
of Labor between In- and Outpatient Care:
Evidence from Switzerland
Timo Tondelli, Department of Health Economics, University of
Basel, Basel
Simon Spika
Konstantin Beck
16:30 -
17:15
Prospective payment in psychiatry: Early
experience from a natural experiment in the
canton of Zurich
Mark Pletscher, Winterthur Institute for Health Economics,
Zürich University of Applied Sciences, Winterthur
Carsten Colombier
2. 2
Parallel Session 2 (Room 5.264) Speaker Discussant Chair
11:30 -
12:15
Costs, Quantities, and Prices of the Swiss
Health Care System
Reto Schleiniger, Center for Economic Policy, Zürich
University of Applied Sciences, Winterthur
Mark Pletscher Simon Wieser
12:15 -
13:00 Lunch
13:00 -
13:45
Disability and Subjective Well-being -
Disentangling the effect of time-use and
emotional aspects
Michael Ingenhaag, Faculty of Business and Economics,
University of Lausanne, Lausanne
Timo Tondelli
Stefan Meyer
13:45 -
14:30
Development of a patient classification
system for inpatient rehabilitation in
Switzerland
Simon Wieser, Winterthur Institute for Health Economics,
Zürich University of Applied Sciences, Winterthur
Carola Huber
14:30 -
15:15
Internal decision-making processes and
hospital behavior: Hierarchical principal-
agent vs. bargaining models
Simon Spika, University Hospital Zurich, Zurich and
Department of Economics, University of Zurich
Stefan Meyer
15:15 -
15:45 Coffee - Break
15:45 -
16:30
Prediction of health care expenditures,
utilization, and mortality using health care
claims data
Carola Huber, Helsana Versicherungen, Zurich Reto Schleiniger
Reto Schleiniger
16:30 -
17:15
Community-based health insurance in
Rwanda: An effective measure against child
labour?
Renate Strobl, Department of Health Economics, University of
Basel, Basel
Michael Ingenhaag
17:15 Closing remarks (Room 5.250)
17:30 End of Workshop