Reimbursement and cost Containment : a German perspective

摘要: This paper distinguishes short- and long-term financing problems in social health insurance systems Germany other European countries. The first part focuses on recent healthcare reforms that are directed at short-term problems, particular measures of cost containment the pharmaceutical sector such as introduction a drug formulary system risk adjustment to enhance competition between sickness funds. second discusses likely effects aging population sustainability present types mandatory coverage possible could solve problems. It is argued proposed distinction basic supplementary benefits requires explicit rationing (e.g. by age), which determines package several decades advance.