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Sustainability of Healthcare Financing in Greece

A Relation Between Public and Social Insurance Contributions and Delivery Expenditures

Bibliographic Data

ID13776335
AuthorsGeorge Mavridoglou (0000-0002-9357-4788, University of Peloponnese, corresponding author), Nikolaos Polyzos (0000-0002-4535-3075, Department of Social Work, University of Thrace, Komotini, Greece)
Year2022
Volume59
Pages469580221092829-469580221092829
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580221092829
PMID35635453
OpenAlexW4282936816
LanguageEN
Citations received1
References cited28

The economic crisis in Greece, which began in 2010 and lasted for 10 years, highlighted the serious problems and challenges of the Greek Social Health Insurance system. The reforms that mainly took place during the crisis provided a temporary solution. They focused on establishing a new National Organization for Healthcare Services (named EOPYY) and merging all the old insurance funds. This paper aims to examine whether this social health insurance fund has been sustainable in the long run. An actuarial model was created to project future expenses and revenues. Demographic and economic trends were considered, while it was assumed that medical technology remains unaltered. The assessment of the system solvency was based on the ratio (Revenue/Liabilities) calculated for each year, from 2020 to 2050. The results led to deficits, the amount and the time point in which they appear depends on how optimistic or pessimistic demographic and economic assumptions were. A new financial flow model was proposed to address the deficits. The results show that under the new model, the system remains solvent until 2050. The state subsidy amount on the employees' health insurance premium was estimated as a percentage of the employees' wage

Actuarial science · Business · Economic growth · Economics · Fiscal sustainability · Health care · Pessimism · Revenue · Social insurance · Solvency · Subsidy · Sustainability · Total revenue · Employment and Welfare Studies · Finance · Global Health Care Issues · Insurance, Mortality, Demography, Risk Management

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Unique citing works1
Citations per year0.25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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