Paying providers to increase Value for Money: Is Pay for Performance the Answer? Review of OECD experience
|
|
|
- Eileen Gordon
- 6 years ago
- Views:
Transcription
1 Paying providers to increase Value for Money: Is Pay for Performance the Answer? Review of OECD experience Michael Borowitz OECD Health Division SBO Network on Health Expenditures 1
2 Productivity Challenge: inputs-outputs-outcomes Economy Efficiency Effectiveness { { { Costs Physical Inputs Physical Outputs Valued Outcomes Unit costs Length of stay Risk-adjusted mortality Cost-effectiveness
3 Input-Outputs-Outcomes
4 Author Donabedian (1980) IOM (1990) Definitions of Quality Definition Quality of care is is expected to maximize an inclusive measure of patient welfare -Structure: number of physicians -Process: vaccination rates; HBA1C =Outcomes: infant mortality, life expectancy Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge WHO (2000) Quality of care is the level of attainment of health systems intrinsic goals for health improvement and responsiveness to legitimate expectations of the Source: OECD
5 Quality and Efficiency Quality is includes health outcomes (clinical effectiveness) as well as other dimensions like patient experience (e.g. waiting times). Improving quality is one of the principal goals of health systems Efficiency involves comparing outcomes with costs; the underlying concept is value for money EFFICIENCY = Value for Money QUALITY (outcomes, Pt Experience) COST (spending)
6 Level of service bundling increaes Primary Care Payment Who bears the financial risk? What are the incentives of the payment method? Salary Fee for service- fee schedule Budget cap Capitation Fundholding for other services Mixed payment models
7 Level of service bundling increasing Hospital payment Who bears the financial risk? What are the incentives of the payment method? Line-item or global budget (based on previous spending) Fee for service Per day Per admission, Per case (DRGs) Global budget (with prospectively set targets) Capitation
8 What is Pay for Performance? Measures Basis for Reward Reward Performance domains: structure, process; outcomes Data Reporting and Verification Indicators Information systems Absolute level of measure: target or continuum Change in measure Relative ranking Bonus payment Publicize measures and ranking Source: Adopted from Scheffler RM: Is There a Doctor in the House? Market Signals and Tomorrow s Supply of Doctors, Stanford University Press,
9 Preventive care Chronic disease Preventive care Chronic disease Clinical outcome Process Patient satisfaction Increasing use of P4P across OECD countries This table illustrates the diversity of pay for performance schemes on the supply side in all areas of care, based on a survey carried out in 2008/2009. The US, the UK and Australia in the late 1990s and early 2000s have broken new grounds for other OECD countries Bonus for If so, targets related to: If so, targets related to: Summary primary of OECD experience Bonus for of pay for Country performance care specialists physicians Bonus for hospitals If so, targets related to: Australia X X X Austria Belgium X X X X X Canada Czech Republic X X X Denmark Finland France X X X Germany Greece Hungary X Iceland Ireland Italy X X X Japan X X X X X X X X Korea X X X Luxembourg X Mexico Netherlands New Zealand X X X Norway Poland X X X X X X Portugal X X X Slovak Republic X X X X X Spain X X X X Sweden n.a. n.a. n.a. Switzerland Turkey X X X X X X United Kingdom X X X X X X X X X X United states X X X X X X X X X X
10 Wide Differences in Design: complex to simple Australia Practice Incentives Program (PIP) Brazil Programa de Incentivo para a Melhoria do Desempenho na Saude da Familia (PIMESF) 13 incentive areas in 3 domains--quality of care, capacity, rural support 6 indicators of health service coverage addressing specific health gaps in the municipality France Contracts to Improve Individual Practice (CAPI) New Zealand PHO Performance Programme U.K. Quality and Outcomes Framework (QOF) U.S. Premier Hospital Quality Improvement Demonstration (HQID) 16 indicators in 3 domains prevention, chronic disease management, cost-effective prescribing 10 indicators in 4 domains-- service coverage, quality, efficiency, capacity to improve performance 129 indicators in 4 domains clinical care, organizational, patient experience, additional services 34 indicators for 5 acute clinical conditions: acute myocardial infarction, coronary artery bypass graft, heart failure, community-acquired pneumonia, and hip/knee replacement. 10
11 P4P widely used to increase health prevention Cancer screening (breast, cervical) Asthma Diabetes Hypertension Vaccination Countries providing incentive Australia Brazil New Zealand U.K. Australia U.K. Australia France New Zealand U.K. France New Zealand U.K. Brazil France New Zealand U.K. Effect? Significant increase in screening rates (BR) Modest increase in screening rates (NZ) Targets met (UK) No improvement (AU; FR) Modest increase in completion of treatment cycles (AU) Targets met (UK) Modest increase in screening and preventive testing and management (AU; FR; NZ) Targets met (UK) Modest improvement (NZ) Targets met (UK) No improvement (FR) Significant increase (NZ children) No improvement (FR; NZ--adults) Targets met (BR; UK) 11
12 P4P has widespread appeal, but does it work? Introduction of QOF Paying for quality is next wave of payment systems Very few schemes well evaluated. Performance measures tied to incentives tend to improve quality, but often marginally. Positive effects on IT uptake; monitoring; and accountability Useful in incentivising prevention Limited evidence on implementation and whether P4P is a cost-effective way to achieve quality Clinical performance as measured before/after implementation of UK P4P scheme (QOF) Source: Campbell SM et al; National Primary Care Research and Development Centre 12
13 Provider Payment: Key to increasing value for money No optimal system Some payment systems (e.g. Fee for Service) will increase activity/output, but will it increase outcomes? Paying for quality makes sense, but the devil is in the detail SBO often sets rules of game for payment systems (e.g. DRGs) Demand side incentives are also important
OECD HEALTH SYSTEM CHARACTERISTICS SURVEY 2012
OECD HEALTH SYSTEM CHARACTERISTICS SURVEY 2012 Emily Hewlett OECD Health Data National Correspondents and Health Accounts Experts Meeting, 17 th October 2013 Health System Characteristics Survey 2012 HSC
8-Jun-06 Personal Income Top Marginal Tax Rate,
8-Jun-06 Personal Income Top Marginal Tax Rate, 1975-2005 2005 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 Australia 47% 47% 47% 47% 47% 47% 47% 47% 47% 47% 47% 48% 49% 49% Austria
Corrigendum. OECD Pensions Outlook 2012 DOI: ISBN (print) ISBN (PDF) OECD 2012
OECD Pensions Outlook 2012 DOI: http://dx.doi.org/9789264169401-en ISBN 978-92-64-16939-5 (print) ISBN 978-92-64-16940-1 (PDF) OECD 2012 Corrigendum Page 21: Figure 1.1. Average annual real net investment
OECD Report Shows Tax Burdens Falling in Many OECD Countries
OECD Centres Germany Berlin (49-30) 288 8353 Japan Tokyo (81-3) 5532-0021 Mexico Mexico (52-55) 5281 3810 United States Washington (1-202) 785 6323 AUSTRALIA AUSTRIA BELGIUM CANADA CZECH REPUBLIC DENMARK
Low employment among the 50+ population in Hungary
Low employment among the + population in Hungary The role of incentives, health and cognitive capacities Janos Divenyi (Central European University) and Gabor Kezdi (Central European University and IE-CRSHAS)
Approach to Employment Injury (EI) compensation benefits in the EU and OECD
Approach to (EI) compensation benefits in the EU and OECD The benefits of protection can be divided in three main groups. The cash benefits include disability pensions, survivor's pensions and other short-
American healthcare: How do we measure up?
American healthcare: How do we measure up? December 2009 September 2009 Lauren Damme Economic Growth Program Next Social Contract Initiative The U.S. is one of the only industrialized nations in the world
American healthcare: How do we measure up?
American healthcare: How do we measure up? December 2009 September 2009 Lauren Damme Economic Growth Program Next Social Contract Initiative The U.S. is one of the only industrialized nations in the world
London School of Hygiene and Tropical Medicine. Affording Our Future Conference Wellington, December, 2012
How and why has health system spending grown and how does the system need to adapt to remain sustainable in the face of long term health conditions? Nicholas Mays London School of Hygiene and Tropical
Monitoring Health System Reform in China: An OECD perspective
Monitoring Health System Reform in China: An OECD perspective Michael Borowitz Health Division Organisation of Economic Cooperation and Development 1 Governance Financing WHO framework: inputs-outputs-outcomes
Statistical annex. Sources and definitions
Statistical annex Sources and definitions Most of the statistics shown in these tables can be found as well in several other (paper or electronic) publications or references, as follows: the annual edition
Sources of Government Revenue in the OECD, 2016
FISCAL FACT No. 517 July, 2016 Sources of Government Revenue in the OECD, 2016 By Kyle Pomerleau Director of Federal Projects Kevin Adams Research Assistant Key Findings OECD countries rely heavily on
Burden of Taxation: International Comparisons
Burden of Taxation: International Comparisons Standard Note: SN/EP/3235 Last updated: 15 October 2008 Author: Bryn Morgan Economic Policy & Statistics Section This note presents data comparing the national
Performance Budgeting (PB) in OECD Countries
Performance Budgeting (PB) in OECD Countries Teresa Curristine, Budgeting and Public Expenditures Division, Public Governance Directorate, OECD 6 th Annual Meeting of Latin American Senior Budget Officials
HEALTH LABOUR MARKET TRENDS IN OECD COUNTRIES
HEALTH LABOUR MARKET TRENDS IN OECD COUNTRIES Michael Schoenstein, OECD Health Division 3 rd Global Health Workforce Alliance Forum Recife, 11 November 2013 Main health labour market issues in OECD countries
Statistical Annex ANNEX
ISBN 92-64-02384-4 OECD Employment Outlook Boosting Jobs and Incomes OECD 2006 ANNEX Statistical Annex Sources and definitions Most of the statistics shown in these tables can be found as well in three
Guidance on Transfer Pricing Documentation and Country-by-Country Reporting
OECD/G20 Base Erosion and Profit Shifting Project Guidance on Transfer Pricing Documentation and Country-by-Country Reporting ACTION 13: 2014 Deliverable ANNEX II TO CHAPTER V. TRANSFER PRICING DOCUMENTATION
Health at a Glance: Europe State of Health in the EU Cycle
Health at a Glance: Europe 2018 - State of Health in the EU Cycle Joint publication of the OECD and the European Commission Released on November 22, 2018 http://www.oecd.org/health/health-at-a-glance-europe-23056088.htm
PENSIONS IN OECD COUNTRIES: INDICATORS AND DEVELOPMENTS
PENSIONS IN OECD COUNTRIES: INDICATORS AND DEVELOPMENTS Marius Lüske Directorate for Employment, Labour and Social Affairs, OECD Lisbon, 28.09.2018 Marius.LUSKE@oecd.org www.oecd.org/els OUTLINE Talk based
Multinational Comparisons of Health Systems Data, 2016
Attachment F Multinational Comparisons of Health Systems Data, 216 Dana Sarnak The Commonwealth Fund Health Care Spending per Capita, 198 214 Adjusted for Differences in Cost of Living Dollars ($US) 9,
Multinational Comparisons of Health Systems Data, Roosa Tikkanen The Commonwealth Fund
Multinational Comparisons of Health Systems Data, 217 Roosa Tikkanen The Commonwealth Fund Health Care Spending HEALTH CARE SPENDING Health Care Spending per Capita, 2 216 Adjusted for Differences in Cost
LA COPERTURA DEI SERVIZI SANITARI NEI PAESI OCSE. Annalisa Belloni
LA COPERTURA DEI SERVIZI SANITARI NEI PAESI OCSE Annalisa Belloni Agenda Com è organizzata la copertura sanitaria? Come misurarla? Quali cambiamenti e quale impatto? Il ruolo dell HTA Three Dimensions
Household Financial Wealth By Selected Country
Household Financial Wealth By Selected Country US$ Trillions 60 50-37% Indicates Projected Shortfall 40 30 20 Extrapolation of Historical Growth 2003-24 Projection (Based on Demographic Trends) -47% -34%
OECD HEALTH DATA 2012 DISSEMINATION AND RESULTS. Marie-Clémence Canaud OECD Health Data National Correspondents Meeting October 12, 2012
OECD HEALTH DATA 2012 DISSEMINATION AND RESULTS Marie-Clémence Canaud OECD Health Data National Correspondents Meeting October 12, 2012 Release of OECD Health Data 2012 Released as planned, June 28 Dissemination
Sources of Government Revenue in the OECD, 2017
FISCAL FACT No. 558 Aug. 2017 Sources of Government Revenue in the OECD, 2017 Amir El-Sibaie Analyst Key Findings: OECD countries rely heavily on consumption taxes, such as the value-added tax, and social
Sources of Government Revenue in the OECD, 2018
FISCAL FACT No. 581 Mar. 2018 Sources of Government Revenue in the OECD, 2018 Amir El-Sibaie Analyst Key Findings In 2015, OECD countries relied heavily on consumption taxes, such as the value-added tax,
10% 10% 15% 15% Caseload: WE. 15% Caseload: SS 10% 10% 15%
Percentchangeincaseload 15% 10% 5% 0% 5% 10% 15% Caseload: AO 0 1 2 3 4 5 Percentchangein caseload 15% 10% 5% 0% 5% 10% 15% Caseload: NC 0 1 2 3 4 5 Years Years Percentchangein caseload 15% 10% 5% 0% 5%
Investment in Health is investment in wealth: the positive dimension of healthcare K. Panagoulias, Al.President SFEE
Investment in Health is investment in wealth: the positive dimension of healthcare K. Panagoulias, Al.President SFEE Healthworld Conference, October 2017 % Healthcare as % of GDP 14,00% 12,00% 10,00% 11,0%
The OECD s Society at a Glance Simon Chapple OECD ELS/SPD Villa Vigoni, Italy, 9-11 th March 2011
The OECD s Society at a Glance 2 Simon Chapple OECD ELS/SPD Villa Vigoni, Italy, 9- th March 2 Reconceptualisation for 2: Internal reasons OECD growth from 3 to 34 countries Other major economies (e.g.
COMPARISON OF RIA SYSTEMS IN OECD COUNTRIES
COMPARISON OF RIA SYSTEMS IN OECD COUNTRIES Nick Malyshev, OECD Conference on the Further Development of Impact Assessment in the European Union Brussels, RIA SYSTEMS IN OECD COUNTRIES Regulatory Impact
HEALTH: FOCUS ON TOMORROW S NEEDS. Date:7 th December Overview of the Irish Healthcare System John O Dwyer CEO, Vhi Group DAC.
HEALTH: FOCUS ON TOMORROW S NEEDS Overview of the Irish Healthcare System John O Dwyer CEO, Vhi Group DAC Date:7 th December 2018 Agenda Agenda Irish Economic Landscape Overview of the Irish Healthcare
The Economics of Public Health Care Reform in Advanced and Emerging Economies
The Economics of Public Health Care Reform in Advanced and Emerging Economies Benedict Clements Fiscal Affairs Department, IMF November 2012 This presentation represents the views of the author and should
Recommendation of the Council on Tax Avoidance and Evasion
Recommendation of the Council on Tax Avoidance and Evasion OECD Legal Instruments This document is published under the responsibility of the Secretary-General of the OECD. It reproduces an OECD Legal Instrument
WHAT ARE THE FINANCIAL INCENTIVES TO INVEST IN EDUCATION?
INDICATOR WHAT ARE THE FINANCIAL INCENTIVES TO INVEST IN EDUCATION? Not only does education pay off for individuals ly, but the public sector also from having a large proportion of tertiary-educated individuals
Reporting practices for domestic and total debt securities
Last updated: 27 November 2017 Reporting practices for domestic and total debt securities While the BIS debt securities statistics are in principle harmonised with the recommendations in the Handbook on
Sources of Government Revenue in the OECD, 2014
FISCAL FACT Nov. 2014 No. 443 Sources of Government Revenue in the OECD, 2014 By Kyle Pomerleau Economist Key Findings OECD countries rely heavily on consumption taxes, such as the value added tax, and
Double-Taxing Capital Income: How Bad Is the Problem?
November 15, 2006 Double-Taxing Capital Income: How Bad Is the Problem? by Patrick Fleenor Fiscal Fact No. 71 Introduction Double taxation is a common and often misused expression in tax policy discussions.
Growth in OECD Unit Labour Costs slows to 0.4% in the third quarter of 2016
Growth in OECD Unit Labour Costs slows to.4% in the third quarter of 26 Growth in unit labour costs (ULCs) in the OECD area slowed to.4% in the third quarter of 26 (compared with.6% in the previous quarter)
Improving data on pharmaceuticals. Meeting of OECD Health Data National Correspondents 3-4 october 2011
Improving data on pharmaceuticals Meeting of OECD Health Data National Correspondents 3-4 october 2011 Purpose of this agenda item Present the current content of OECD health data on pharmaceuticals Propose
The Case for Fundamental Tax Reform: Overview of the Current Tax System
The Case for Fundamental Tax Reform: Overview of the Current Tax System Sources of Federal Receipts Projected for 2016 Excise Taxes 2.9% Estate & Gift Taxes 0.6% Corporate Income Taxes 9.8% Other Taxes
Programme for Government Joe Reynolds Director Programme for Government and Delivering Social Change
Programme for Government 2016-21 Joe Reynolds Director Programme for Government and Delivering Social Change Context the rationale for change Current PfG is a list of 82 Commitments Executive record on
17th EHFG Electing Health The Europe We Want!
01 03 October 2014 17th EHFG Electing Health The Europe We Want! For more information about the final programme, speakers or the EHFG conference please contact us directly! Follow us on our social media
Ageing and employment policies: Ireland
Ageing and employment policies: Ireland John Martin 1 Director for Employment, Labour and Social Affairs, OECD FÁS Annual Labour Market Conference, Dublin, 5 December 2005 OECD has carried out a major
Country Health Profiles
State of Health in the EU Country Health Profiles Brussels, November 2017 1 The Country Health Profiles 1. Highlights 2. Health status 3. Risk Factors 4. Health System (description) 5. Performance of Health
Statistical Annex. Sources and definitions
Statistical Annex Sources and definitions Most of the statistics shown in these tables can also be found in two other (paper or electronic) publication and data repository, as follows: The annual edition
Ways to increase employment
Ways to increase employment Iceland Luxembourg Spain Canada Italy Norway Denmark Germany Portugal Ireland Japan Belgium Switzerland Austria Slovenia United States New Zealand Finland France Netherlands
Outlook Overview: OECD Countries UN LINK Conference, Bangkok October, 2009
Outlook Overview: OECD Countries UN LINK Conference, Bangkok 26 28 October, 2009 Dave Turner OECD, Economics Department OECD Outlook: Outline 1. Recovery underway but will probably be slow 2. Risks and
Investing for our Future Welfare. Peter Whiteford, ANU
Investing for our Future Welfare Peter Whiteford, ANU Investing for our future welfare Presentation to Jobs Australia National Conference, Canberra, 20 October 2016 Peter Whiteford, Crawford School of
Introduction to Public Finance
Introduction to Public Finance Lecture 2: Functions and size of the welfare state. Retirement, unemployment protection, health care, etc. Welfare expenditures, aging problem. 1 Outline of the lecture Basic
Exhibit ES-1. Total National Health Expenditures (NHE), Current Projection and Alternative Scenarios
Exhibit ES-1. Total National Health Expenditures (NHE), 2009 2020 Current Projection and Alternative Scenarios NHE in trillions $6 $5 Current projection (6.7% annual growth) Path proposals (5.5% annual
Glossary of Defined Terms
Glossary of Defined Terms Glossary History Change Date April 2007 July 2007 Description of Changes Initial Launch Amendment of definition of administrator(s) Glossary History July 2007 Page 1 of 1 A Accredited
TAXATION OF TRUSTS IN ISRAEL. An Opportunity For Foreign Residents. Dr. Avi Nov
TAXATION OF TRUSTS IN ISRAEL An Opportunity For Foreign Residents Dr. Avi Nov Short Bio Dr. Avi Nov is an Israeli lawyer who represents taxpayers, individuals and entities. Areas of Practice: Tax Law,
2018 INTERNATIONAL CONFERENCE ON MUNICIPAL FISCAL HEALTH U.S. Tax Reform and Its Impact on State and Local Government Finance Presented by Jane L.
2018 INTERNATIONAL CONFERENCE ON MUNICIPAL FISCAL HEALTH U.S. Tax Reform and Its Impact on State and Local Government Finance Presented by Jane L. Campbell ; Director NDC Washington Office National Development
Health Care in Crisis
Health Care in Crisis The Economic Imperative for Health Care Reform James Kvaal and Ben Furnas February 19, 2009 1 Center for American Progress Health Care in Crisis U.S. spends twice as much per capita
8th ASHK Appointed Actuaries Symposium Healthcare, Financing and Insurance
8th ASHK Appointed Actuaries Symposium Healthcare, Financing and Insurance Presentation by Thomas Chan Deputy Secretary, Food and Health Bureau 4 November 2008 Rapidly Ageing Population In 2008 1 out of
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org). Worldwide Investment Fund Assets and Flows Trends in the
OECD Health Policy Unit. 10 June, 2001
The State of Implementation of the OECD Manual: A System of Health Accounts (SHA) in OECD Member Countries, 2001 OECD Health Policy Unit 10 June, 2001 TABLE OF CONTENTS Summary...3 Introduction...4 Background
Decumulation debate. New Zealand Society of Actuaries Financial Services Forum 16 November 2015
Decumulation debate New Zealand Society of Actuaries Financial Services Forum 16 November 2015 1 Contents Recap of our conclusions International developments and relevance Importance of advice Rules of
Switzerland and Germany top the PwC Young Workers Index in developing younger people
Press release Date 9 November 2015 Contact Mihnea Anastasiu Pages 5 Media Relations Manager Tel: +40 21 225 3546 Email: mihnea.anastasiu@ro.pwc.com Switzerland and Germany top the PwC Young Workers Index
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org) Worldwide Investment Fund Assets and Flows Trends in the
LONG-TERM PROJECTIONS OF PUBLIC PENSION EXPENDITURE
7. FINANCES OF RETIREMENT-INCOME SYSTEMS LONG-TERM PROJECTIONS OF PUBLIC PENSION EXPENDITURE Key results Public spending on pensions has been on the rise in most OECD countries for the past decades, as
Updates and revisions of national SUTs for the November 2013 release of the WIOD
Updates and revisions of national SUTs for the November 2013 release of the WIOD Edited by Marcel Timmer (University of Groningen) With contributions from: Abdul A. Erumban, Reitze Gouma and Gaaitzen J.
Earnings related schemes: Design, options and experience. Edward Whitehouse
Earnings related schemes: Design, options and experience Edward Whitehouse Retirement-income systems: goal Primary objective ensuring older people have a decent standard of living in retirement Two interpretations
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org). Worldwide Investment Fund Assets and Flows Trends in the
A NOTE ON PUBLIC SPENDING EFFICIENCY
A NOTE ON PUBLIC SPENDING EFFICIENCY try to implement better institutions and should reassign many non-core public sector activities to the private sector. ANTÓNIO AFONSO * Public sector performance Introduction
Public Financial Management (PFMx) Module
Public Financial Management (PFMx) Module 4 The Annual Budget Preparation and Approval This training material is the property of the International Monetary Fund (IMF) and is intended for use in IMF Fiscal
International comparison of poverty amongst the elderly
International comparison of poverty amongst the elderly RPRC PensionBriefing 2009-1 ------------------------------------------------------------------------------------------------------- This PensionBriefing
Plan: Reform Strategy - Bermuda Experience. Caribbean Conference on Health lhfinancing Initiatives
National Health Plan: Evidence & Reform Strategy - Bermuda Experience Caribbean Conference on Health lhfinancing i Initiatives J Attride-Stirling, PhD Chief Executive Officer 23 rd November 2011 Overview
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org) Worldwide Investment Fund Assets and Flows Trends in the
BETTER POLICIES FOR A SUCCESSFUL TRANSITION TO A LOW-CARBON ECONOMY
BETTER POLICIES FOR A SUCCESSFUL TRANSITION TO A LOW-CARBON ECONOMY Rintaro Tamaki Deputy Secretary-General, OECD International Forum for Sustainable Asia and the Pacific (ISAP)1 Yokohama, July 1 Four
Sources of Government Revenue across the OECD, 2015
FISCAL FACT Apr. 2015 No. 465 Sources of Government Revenue across the OECD, 2015 By Kyle Pomerleau Economist Key Findings OECD countries rely heavily on consumption taxes, such as the value added tax,
DFA Global Equity Portfolio (Class F) Quarterly Performance Report Q2 2014
DFA Global Equity Portfolio (Class F) Quarterly Performance Report Q2 2014 This presentation has been prepared by Dimensional Fund Advisors Canada ULC ( DFA Canada ), manager of the Dimensional Funds.
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org) Worldwide Investment Fund Assets and Flows Trends in the
Pension Fund Investment and Regulation - An International Perspective and Implications for China s Pension System
Pension Fund Investment and Regulation - An International Perspective and Implications for China s Pension System Yu-Wei Hu, Fiona Stewart and Juan Yermo Financial Affairs Division OECD, Paris OECD/IOPS
IMPLICATIONS OF LOW PRODUCTIVITY GROWTH FOR DEBT SUSTAINABILITY
IMPLICATIONS OF LOW PRODUCTIVITY GROWTH FOR DEBT SUSTAINABILITY Neil R. Mehrotra Brown University Peterson Institute for International Economics November 9th, 2017 1 / 13 PUBLIC DEBT AND PRODUCTIVITY GROWTH
Tax Working Group Information Release. Release Document. September taxworkingroup.govt.nz/key-documents
Tax Working Group Information Release Release Document September 2018 taxworkingroup.govt.nz/key-documents This paper contains advice that has been prepared by the Tax Working Group Secretariat for consideration
Assessing Developments and Prospects in the Australian Welfare State
Assessing Developments and Prospects in the Australian Welfare State Presentation to OECD,16 November, 2016 Peter Whiteford, Crawford School of Public Policy https://socialpolicy.crawford.anu.edu.au/ peter.whiteford@anu.edu.au
US Reimbursement Systems: Effects on R&D
US Reimbursement Systems: Effects on R&D Patricia M. Danzon, PhD Professor Emeritus The Wharton School University of Pennsylvania Theory: Optimal Reimbursement Rules to Create Efficient R&D Incentives
Health Inequalities the Northern Ireland context. Dr Michael McBride Chief Medical Officer DHSSPS
Health Inequalities the Northern Ireland context Dr Michael McBride Chief Medical Officer DHSSPS That Poverty is associated with ill health must always have been obvious, except to those who did not care
Social Expenditure in Japan: Trends and Backgrounds
Social Expenditure in Japan: Trends and Backgrounds Junko Takezawa The 9th Social Experts Meeting the Center Mark Hotel in Seoul (28 29 October 2014) Presentation Outline 1. Trends in Social Expenditure
This DataWatch provides current information on health spending
DataWatch Health Spending, Delivery, And Outcomes In OECD Countries by George J. Schieber, Jean-Pierre Poullier, and Leslie M. Greenwald Abstract: Data comparing health expenditures in twenty-four industrialized
DFA Global Equity Portfolio (Class F) Performance Report Q2 2017
DFA Global Equity Portfolio (Class F) Performance Report Q2 2017 This presentation has been prepared by Dimensional Fund Advisors Canada ULC ( DFA Canada ), manager of the Dimensional Funds. This presentation
DFA Global Equity Portfolio (Class F) Performance Report Q3 2018
DFA Global Equity Portfolio (Class F) Performance Report Q3 2018 This presentation has been prepared by Dimensional Fund Advisors Canada ULC ( DFA Canada ), manager of the Dimensional Funds. This presentation
DFA Global Equity Portfolio (Class F) Performance Report Q4 2017
DFA Global Equity Portfolio (Class F) Performance Report Q4 2017 This presentation has been prepared by Dimensional Fund Advisors Canada ULC ( DFA Canada ), manager of the Dimensional Funds. This presentation
San Francisco Retiree Health Care Trust Fund Education Materials on Public Equity
M E K E T A I N V E S T M E N T G R O U P 5796 ARMADA DRIVE SUITE 110 CARLSBAD CA 92008 760 795 3450 fax 760 795 3445 www.meketagroup.com The Global Equity Opportunity Set MSCI All Country World 1 Index
A Comparison of the Tax Burden on Labor in the OECD, 2017
FISCAL FACT No. 557 Aug. 2017 A Comparison of the Tax Burden on Labor in the OECD, 2017 Jose Trejos Research Assistant Kyle Pomerleau Economist, Director of Federal Projects Key Findings: Average wage
DFA Global Equity Portfolio (Class F) Performance Report Q3 2015
DFA Global Equity Portfolio (Class F) Performance Report Q3 2015 This presentation has been prepared by Dimensional Fund Advisors Canada ULC ( DFA Canada ), manager of the Dimensional Funds. This presentation
Private pensions. A growing role. Who has a private pension?
Private pensions A growing role Private pensions play an important and growing role in providing for old age in OECD countries. In 11 of them Australia, Denmark, Hungary, Iceland, Mexico, Norway, Poland,
HIGHLIGHTS 2016 OECD PERFORMANCE BUDGETING SURVEY: Integrating performance and results in budgeting
HIGHLIGHTS 2016 OECD PERFORMANCE BUDGETING SURVEY: Integrating performance and results in budgeting This booklet presents highlights from the 2016 OECD performance budgeting survey. The data is preliminary
DANMARKS NATIONALBANK
DANMARKS NATIONALBANK WEALTH, DEBT AND MACROECONOMIC STABILITY Niels Lynggård Hansen, Head of Economics and Monetary Policy. IARIW, Copenhagen, 21 August 2018 Agenda Descriptive evidence on household debt
STOXX EMERGING MARKETS INDICES. UNDERSTANDA RULES-BA EMERGING MARK TRANSPARENT SIMPLE
STOXX Limited STOXX EMERGING MARKETS INDICES. EMERGING MARK RULES-BA TRANSPARENT UNDERSTANDA SIMPLE MARKET CLASSIF INTRODUCTION. Many investors are seeking to embrace emerging market investments, because
2015 MERCER BENEFITS ANALYSIS REVIEW
2015 MERCER BENEFITS ANALYSIS REVIEW Definitions Top Management (Top Mgt) Management (Mgt) Professionals (Prof) Staff (Staff) Employees with roles such as Head of rganization, Function Heads. Typical Career
SESSION 3 The market forces framework in Primary Care Services Markets
The World Bank Group in collaboration with O Hanlon Health Consulting, Tropical Health LLP, University of California at San Francisco, University of Edinburgh FEB 4-6, 2015 SESSION 3 The market forces
International Statistical Release
International Statistical Release This release and additional tables of international statistics are available on efama s website (www.efama.org). wide Regulated Open-ended Fund Assets and Flows Trends
FCCC/SBI/2010/10/Add.1
United Nations Framework Convention on Climate Change Distr.: General 25 August 2010 Original: English Subsidiary Body for Implementation Contents Report of the Subsidiary Body for Implementation on its
DEVELOPMENT AID AT A GLANCE
DEVELOPMENT AID AT A GLANCE STATISTICS BY REGION 5. EUROPE 6 edition 5.. ODA TO EUROPE - SUMMARY 5... Top ODA receipts by recipient USD million, net disbursements in 5... Trends in ODA Turkey % Ukraine
Health Reform: Will States Be Left Holding the Bag?
1 Health Reform: Will States Be Left Holding the Bag? Marcia Nielsen, PhD, MPH Vice Chancellor for Public Policy & Planning Associate Professor Department of Health Policy and Mgmt University of Kansas
Financial wealth of private households worldwide
Economic Research Financial wealth of private households worldwide Munich, October 217 Recovery in turbulent times Assets and liabilities of private households worldwide in EUR trillion and annualrate
This Morning s Topics
Why Does Healthcare Cost so Much? Financial Executives International Britt Berrett, PhD John McCracken, PhD This Morning s Topics 1. How Much Does U.S. Healthcare Cost? 2. How Does it Compare to Other
Health System Performance in Selected Nations: A Chartpack
1 Health System Performance in Selected Nations: A Chartpack Compiled by Katherine K. Shea, Alyssa L. Holmgren, Robin Osborn, and Cathy Schoen May 2007 Outline 2 I. Quality of Care II. Access to Care III.