Past Event

Health care and macro-economics in Europe

What are the strengths and challenges of health care systems in each EU country? What are the common policy priorities and opportunities for EU value added?What role do healthcare systems play in public finances and macroeconomic developments? What are the economic values of investing in healthcare?

Date: December 7, 2017, 11:00 am Topic: European Macroeconomics & Governance

video and audio recording


Event Materials

Presentation of Zsolt Darvas

Presentation Xavier Prats Monnee

SUMMARY

 

The panel presented two novel contributions in the field of health policy: on one hand the 2017 “State of Health in the EU” and on the other a Bruegel paper on the “Macroeconomic implications of healthcare.”

A starting point during the discussion of both contributions was that money does not mean everything in healthcare. Indeed, mean per capita expenditure on healthcare correlates positively with improved health outcomes at low levels of spending, but the relationship disappears beyond a certain threshold. This is why policy discussions over the past 2 years have therefore gone beyond what is spent towards how it is spent.

This is of course a much more challenging aspect, as policy-makers need more granular indicators than health outcomes to measure efficiency. How to better measure the quality of care was therefore a key question. Some of the discussants highlighted how current healthcare data policy led to inefficiencies and foregone opportunities for R&D. Another factor was that so far, comparative and unambiguous indicators were absent from the policy discussions.

However, the panellists looked forward to the positive developments in that direction, notably the Patient-Reported Indicator Survey (PaRIS) that has the potential to properly address the issue of measuring efficiency. The discussants also highlighted the high acceptance across countries of the metrics used in the “State of Health in the EU” to assess and compare their health systems. This acceptance of metrics used has also been key for the success of DG ECOFIN’s joint report on Healthcare and Fiscal Sustainability. There is hope that the high acceptance and policy-relevance of these indicators will lead to informed domestic reforms.

Beyond its measurement, other points related to efficiency were the importance of prevention, the role of inequalities and the EU added-value in the policy decision. Discussants agreed that prevention was currently underfunded relative to curative and rehabilitative care. This is one of the main conclusions of the State of Health in the EU. However, a fundamental issue is that while there is an economic case for prevention, there is no business case for prevention.

Inequality of access and income inequalities were also highlighted in the discussion, as cause and consequence of each other and of inefficient spending. The poor health of a minority of citizens with unmet healthcare needs have macroeconomic implications EU-wide and greater access could be avenue for greater efficiency. This is one of the common challenges that the EU could help address by transferring best practices. Another way the EU could add value for domestic health ministries is by promoting other best practices such as Health System Performance Assessments and Health Technology Assessment, or guidance for transition towards E-health and integrated healthcare systems.

Event notes by Nicolas Moës, Research Assistant.

Schedule

Dec 7, 2017

11:00-11:30

Check-in and coffee

11:30-12:00

Presentation: State of health in the EU

Xavier Prats Monné, Director General, European Commission, DG SANTE

12:00-12:15

Presentation: Macroeconomic implications of healthcare

Zsolt Darvas, Senior Fellow

12:15-13:00

Panel discussion

Chair: Guntram B. Wolff, Director

Caroline Costongs, Director, EuroHealthNet

Zsolt Darvas, Senior Fellow

Per Eckefeldt, Deputy Head of Unit, European Commission, DG ECFIN

Sylvain Giraud, Head of Unit for Performance of national health systems, European Commission, DG SANTE

Petra Laux, Head of Global Public and Government Affairs, Novartis

13:00-13:30

Discussion with audience

13:30

Lunch

Speakers

Zsolt Darvas

Senior Fellow

Caroline Costongs

Director, EuroHealthNet

Per Eckefeldt

Deputy Head of Unit, European Commission, DG ECFIN

Sylvain Giraud

Head of Unit for Performance of national health systems, European Commission, DG SANTE

Petra Laux

Head of Global Public and Government Affairs, Novartis

Xavier Prats Monné

Director General, European Commission, DG SANTE

Guntram B. Wolff

Director

Location & Contact

Bruegel, Rue de la Charité 33, 1210 Brussels

Matilda Sevon

matilda.sevon@bruegel.org

Read about event More on this topic

Past Event

Past Event

Market power and its implications to competition policy

What are the reasons behind the global trends in corporate margins and market concentration?

Speakers: Adina Claici, Fiona Scott Morton, Nicolas Petit, Georgios Petropoulos and Arno Rasek Topic: Innovation & Competition Policy Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: January 16, 2019
Read about event More on this topic

Past Event

Past Event

Investment and intangible capital

This event featured a presentation of the EIB's 2018 Investment Report.

Speakers: Román Arjona, Maria Demertzis, Debora Revoltella and Mario Nava Topic: European Macroeconomics & Governance Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: December 14, 2018
Read about event More on this topic

Past Event

Past Event

Emerging Trends in Competition Policy - A Global Perspective

How is global competition policy evolving given the challenges of the digital era?

Speakers: Cristina Caffarra, Antonio Capobianco, Kris Dekeyser, William Kovacic and Georgios Petropoulos Topic: Innovation & Competition Policy Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: December 11, 2018
Read about event More on this topic

Past Event

Past Event

Environmental and economic effects of the EU ETS

What is the impact of the EU ETS on carbon emissions and economic performance of regulated companies?

Speakers: Sander de Bruyn, Antoine Dechezleprêtre, Beatriz Yordi Aguirre and Georg Zachmann Topic: Energy & Climate Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: December 6, 2018
Read about event More on this topic

Past Event

Past Event

Civil society for the digital age

What is the place of civil society in the digital age as well as the role of technology in society?

Speakers: Eline Chivot, Orla Lynskey, Bertin Martens, Georgios Petropoulos, Thiébaut Weber and Glen Weyl Topic: Innovation & Competition Policy Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: December 4, 2018
Read about event More on this topic

Past Event

Past Event

How to speed up sustainable finance?

Which steps are needed to really change current practices and speed up sustainable finance?

Speakers: Sophie Barbier, Molly Scott Cato, Cathrine de Coninck-Lopez, Alain Deckers, Edmund Lakin and Dirk Schoenmaker Topic: Finance & Financial Regulation Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: November 28, 2018
Read about event More on this topic

Past Event

Past Event

Reviewing the EU fiscal framework

What are the positive and negative developments and is there scope for improvement?

Speakers: Niels Thygesen and Anne-Laure Delatte Topic: European Macroeconomics & Governance Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: November 22, 2018
Read about event

Past Event

Past Event

European Banking Supervision: the past five years and prospects for the future

This event will look back at the first five years of the Single Supervisory Mechanism.

Speakers: Danièle Nouy and Guntram B. Wolff Topic: European Macroeconomics & Governance, Finance & Financial Regulation Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: November 20, 2018
Read about event More on this topic

Past Event

Past Event

Does Europe’s anti-money laundering framework need a regime change?

Proposal for a more efficient fight against money laundering.

Speakers: Raluca Alexandra Pruna, Joshua Kirschenbaum, Tobias Mackie, Olaf Rachstein and Nicolas Véron Topic: Finance & Financial Regulation Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: November 15, 2018
Read about event More on this topic

Past Event

Past Event

Distributional effects of climate policies

How do we design climate policies to minimize adverse distributional effects?

Speakers: Elena Jachia, Elena Verdolini and Georg Zachmann Topic: Energy & Climate Location: Centro Congressi Fondazione Cariplo, Via Romagnosi, 8, 20121 Milano MI, Italy Date: November 14, 2018
Read about event

Past Event

Past Event

Brussels Briefing Live: A conversation with Nadia Calviño

The Minister of Finance from Spain discusses challenges ahead of the European Council in December

Speakers: Guntram B. Wolff, Nadia Calviño and Mehreen Khan Topic: European Macroeconomics & Governance, Finance & Financial Regulation Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: November 6, 2018
Read about event More on this topic

Past Event

Past Event

Europe: Back to the future of a political project

This event will feature a discussion on different ideas for reforming European Governance.

Speakers: Ulrike Guerot, Adriaan Schout and Guntram B. Wolff Topic: European Macroeconomics & Governance Location: Bruegel, Rue de la Charité 33, 1210 Brussels Date: October 23, 2018
Load more posts