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Sanidad calcula que el nuevo copago aportará solo 165 millones
El ministerio es el que hace una evaluación más baja de la medida
Trasladar enfermos crónicos a unidades residenciales ahorrará 600 millones
スペイン保健省は、医療費削減のために、65歳以上の年金者の10%の薬代の支払いは、年間薬代の110億0000'0000ユーロのうち、最低2'3%の1億6000万0000ユーロから、最高11'6%の12億7500万0000ユーロくらいの節約になると予測
Health estimates that the new copay will provide only 165 million
The ministry is making a lower assessment of the measure
Move chronically ill save 600 million residential units
The euro per prescription copayment will coexist with the government in Catalonia
Health raises the co-lowering drug consumption
Emilio de Benito Madrid 20 ABR 2012 - 17:56 CET
The ministry is making a lower assessment of the measure
Move chronically ill save 600 million residential units
The euro per prescription copayment will coexist with the government in Catalonia
Health raises the co-lowering drug consumption
Emilio de Benito Madrid 20 ABR 2012 - 17:56 CET
English translation from Spanish of this news article
The hangover of the new pharmaceutical copayment announced Wednesday has had an amazing digestion. In the welter of information and calculations that has brought the increasing percentage of the assets and start paying pensioners, surprised by a statement of the Minister of Health, Ana Mato. It said the move would provide "a few hundred million", which estimated between "1% and 1.5% of pharmaceutical expenditure." Given that this is about 11,000 million a year, that means that all change has been made to get 160 million euros.
The figure not only surprised by how small. It does so because it is the least of which have been calculated on the measure. Neither the PSOE (billion) or economists Fedea (2,000 million), or the calculations in this paper (less than 1.275 million, although this is only a maximum because it did not include any of the many exceptions and limits) had been so low.
more informationHow does it affect the new pharmaceutical copay?Echániz: "Medicine will be only eight euros: four coffees"The accounts of the copaymentExperts warn of impact of the new co-payment on the health of the poorestReasonable, but difficult to manage"This is touching pensions"
There is no official explanation for this. Mato said what he said, but there were nuances. The most plausible theory is that the costs of implementing the measure, with new systems and changes in health cards, to be about 900 million, as calculated by the Federation of Associations for Public Health Advocacy. Therefore, once the mechanism is in place, savings will be much higher.
Another possibility is that Health has taken the need for action imposed by the cut of 7,000 million to change the system and get it ready for the future if you have to harden. Maybe that's why Mato insisted that he had a tax collection target, but educational.
This saving is only 2.2% of that amount. Still, the so-called fringe benefits, including all those that are not 100% free for users (the pharmacy, but also others like "dietoterápicos, orthoprosthetics and non-emergency transport," according to a note of Health, represent the bulk adjustment. A working paper of the ministry to which he had access COUNTRY savings figure for that concept in 3,550 million. Removed the co-payment, the rest was defined by Mato: generic prescription by active ingredient, and especially , downward negotiations with laboratories as already announced that attended the auction of drugs in the Junta de Andalucía.
For the rest, Mato gave no clues, but said he hoped an "effective management of the directors."
We must build residential center rather than acute care units
This working paper has other details that until now had not been reported. The most striking is that the contribution of improved care coordination system savings can reach 600 million. The detailed text that refers to "income to the residence when it is necessary to use a hospital bed."
Of the proposed measures, as advanced by the Minister of Health of the Basque Country, Rafael Bengoa, which is probably closer to a truly new system. Because experts agree you need to change a system geared to acute care to one of chronic care needs longer but less technology. Mato, who spent tiptoeing around this issue after the Inter-Territorial Council on Wednesday, had already advanced this idea in his speech at the Congress of Deputies, when he spoke of a pact of socio State.
The key to savings is in the different cost of admission. A report of Antares Consulting is established between 600 and 1,100 euros a day when it comes to a hospital bed, while falls below 200 in a residential area. In this work of 2010 was estimated at nearly 5,300 beds dedicated to acute chronic centers. Evict could save more than those 600 million. If care coordination is extended to avoid unnecessary consultations and other services, the consultant estimated that the savings would be 1,500 million.
These 5,300 beds represent about 5% of the total that exist in hospitals, according to the Ministry of Health. There are so many like that already exist in chronic hospitals. So many times you have heard protests when a community of experts, including Madrid, has given priority to building traditional hospitals, because with less money could better serve chronic oriented.
Coordination of staff can make another $ 500 million
The document includes other items already mentioned by the minister, as an estimated 1,000 million can be saved with the central purchasing.
It also gives some clues of what is intended to care for foreigners. In a game defined as "insurance", you specify which is the "data for 2009 and not counting non-EU foreigners or without agreement." The amount is estimated at 917 million. It is not, therefore, of a supposed persecution of so-called medical tourism in its aspect of picaresque, but to put in place the administrative arrangements, including the transposition of an EU directive, Mato said to charge countries home care that is given to residents or tourists and travelers.
There is another game you do not pay much attention on Wednesday: 500 million allocated simply to "human resource management." These savings should come from a coordination levels and additions to enable professionals to make better assignments, and will allow more easily relocate existing if a reform, rather than hiring new ones.
The result of all these items is "a minimum" of 7.267 million, the report of Health. Lack specificity and confirmation, but makes clear that the ministry does not lack optimism.
The figure not only surprised by how small. It does so because it is the least of which have been calculated on the measure. Neither the PSOE (billion) or economists Fedea (2,000 million), or the calculations in this paper (less than 1.275 million, although this is only a maximum because it did not include any of the many exceptions and limits) had been so low.
more informationHow does it affect the new pharmaceutical copay?Echániz: "Medicine will be only eight euros: four coffees"The accounts of the copaymentExperts warn of impact of the new co-payment on the health of the poorestReasonable, but difficult to manage"This is touching pensions"
There is no official explanation for this. Mato said what he said, but there were nuances. The most plausible theory is that the costs of implementing the measure, with new systems and changes in health cards, to be about 900 million, as calculated by the Federation of Associations for Public Health Advocacy. Therefore, once the mechanism is in place, savings will be much higher.
Another possibility is that Health has taken the need for action imposed by the cut of 7,000 million to change the system and get it ready for the future if you have to harden. Maybe that's why Mato insisted that he had a tax collection target, but educational.
This saving is only 2.2% of that amount. Still, the so-called fringe benefits, including all those that are not 100% free for users (the pharmacy, but also others like "dietoterápicos, orthoprosthetics and non-emergency transport," according to a note of Health, represent the bulk adjustment. A working paper of the ministry to which he had access COUNTRY savings figure for that concept in 3,550 million. Removed the co-payment, the rest was defined by Mato: generic prescription by active ingredient, and especially , downward negotiations with laboratories as already announced that attended the auction of drugs in the Junta de Andalucía.
For the rest, Mato gave no clues, but said he hoped an "effective management of the directors."
We must build residential center rather than acute care units
This working paper has other details that until now had not been reported. The most striking is that the contribution of improved care coordination system savings can reach 600 million. The detailed text that refers to "income to the residence when it is necessary to use a hospital bed."
Of the proposed measures, as advanced by the Minister of Health of the Basque Country, Rafael Bengoa, which is probably closer to a truly new system. Because experts agree you need to change a system geared to acute care to one of chronic care needs longer but less technology. Mato, who spent tiptoeing around this issue after the Inter-Territorial Council on Wednesday, had already advanced this idea in his speech at the Congress of Deputies, when he spoke of a pact of socio State.
The key to savings is in the different cost of admission. A report of Antares Consulting is established between 600 and 1,100 euros a day when it comes to a hospital bed, while falls below 200 in a residential area. In this work of 2010 was estimated at nearly 5,300 beds dedicated to acute chronic centers. Evict could save more than those 600 million. If care coordination is extended to avoid unnecessary consultations and other services, the consultant estimated that the savings would be 1,500 million.
These 5,300 beds represent about 5% of the total that exist in hospitals, according to the Ministry of Health. There are so many like that already exist in chronic hospitals. So many times you have heard protests when a community of experts, including Madrid, has given priority to building traditional hospitals, because with less money could better serve chronic oriented.
Coordination of staff can make another $ 500 million
The document includes other items already mentioned by the minister, as an estimated 1,000 million can be saved with the central purchasing.
It also gives some clues of what is intended to care for foreigners. In a game defined as "insurance", you specify which is the "data for 2009 and not counting non-EU foreigners or without agreement." The amount is estimated at 917 million. It is not, therefore, of a supposed persecution of so-called medical tourism in its aspect of picaresque, but to put in place the administrative arrangements, including the transposition of an EU directive, Mato said to charge countries home care that is given to residents or tourists and travelers.
There is another game you do not pay much attention on Wednesday: 500 million allocated simply to "human resource management." These savings should come from a coordination levels and additions to enable professionals to make better assignments, and will allow more easily relocate existing if a reform, rather than hiring new ones.
The result of all these items is "a minimum" of 7.267 million, the report of Health. Lack specificity and confirmation, but makes clear that the ministry does not lack optimism.
スペイン保健省は、医療費削減のために、65歳以上の年金者の10%の薬代の支払いは、年間薬代の110億0000'0000ユーロのうち、最低2'3%の1億6000万0000ユーロから、最高11'6%の12億7500万0000ユーロくらいの節約になると予測
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